bobby
Forum Guru
Topics: 136
Posts: 569
|
A 4-year-old boy presents with severe pains in both of his legs. On physical examination, his temperature is 37.7 C (99.8 F), blood pressure is 108/68 mm Hg, pulse is 96/min, and respirations are 17/min. He is noted to have marked pallor on his lips and palpebral conjunctiva. Numerous purpura and petechiae are noted on his skin. His spleen is palpable 3 cm below his left costal margin. Laboratory evaluation reveals a white blood cell count of 1600/mm3; hemoglobin, 6.1 g/dL; and platelets, 36,000/mm3. Which of the following diagnoses is most consistent with these findings?
A. Acute lymphocytic leukemia
B. Aplastic anemia
C. Henoch-Schönlein purpura
D. Immune thrombocytopenic purpura
E. Thrombotic thrombocytopenic purpura
___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.
|
| SDK
Forum Fanatic
Topics: 537
Posts: 1,587
|
Acute lymphocytic leukemia or lymphoblastic leukemia????
answer is A...
___________________
Love humans,save humans & live like humans.
|
| bobby
Forum Guru
Topics: 136
Posts: 569
|
can you please explain why the lymphopenia? usually ALL has leukocytosis
___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.
|
| SDK
Forum Fanatic
Topics: 537
Posts: 1,587
|
accumulation of immature cells in the bone marrow supress normal activity of marrow.....this leads to pancytopenia.....as abow picture....
___________________
Love humans,save humans & live like humans.
|
| SDK
Forum Fanatic
Topics: 537
Posts: 1,587
|
pancytopenia also occur in aplastic anemia...but in children ALL is more common..
___________________
Love humans,save humans & live like humans.
|
| bobby
Forum Guru
Topics: 136
Posts: 569
|
so if i get you right, you are trying to say that....
initially there is leukocytosis, which eventually becomes leukopenia. is that what you mean?
___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.
|
| tamar
Forum Senior
Topics: 2
Posts: 105
|
I think the answer is A. Patient has pains in the legs (some pts refuse to walk) also supports the Dx.
|
| aliakram
Forum Junior
Topics: 2
Posts: 61
|
A..age with hpspmegaly and leg pain usually limping child is seen. Ap Anemia may have some ppt factor and Q Stem lacks any such info.
|
| chemamr
Moderator and PGY1
Topics: 703
Posts: 4,441
|
in ALL, approx 1/3 of patients have normal leukoc , 1/3 increased and 1/3 decreased.
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
|
| |
| | | | | | | | | |
