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Drtweetie
Forum Elite  Topics: 17 Posts: 297 |
4 yo boy has severe pain in both of his legs. On PE, his temp is 99.8, BP 108/68, PR 96, RR 17. He has marked pallor on his lips andn palpebral conjunctiva. Numerous purpura and petechiae are noted on his skin. His spleen is palpable 3 cm below his left costal margin. lab revelas WBC 1600, Hb 6.1, plt 36,000. Which of the following diagnoses is most consistent with these findings? a. acute lymphcytic leukemia b. aplastic anemia c. Henoch-Schonlein purpura d. Immune thrombocytopenic purpura e. thrombotic thrombocytopenic purpura
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robin082006
| Forum Hero  Topics: 468 Posts: 5028
a. acute lymphcytic leukemia
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Justice
| class of 2012  Topics: 140 Posts: 3096
a. acute lymphcytic leukemia
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Kamsi
| Forum Guru Topics: 102 Posts: 334
Pls can U explain why it's not immune thrombocytopenic purpura Thanks
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Drtweetie
| Forum Elite Topics: 17 Posts: 297
kamsi, ITP is usually preceded by URI and nonpalpable spleen. Anemia and lymphocytosis can be seen, but most of the time, only platelet is decreased.
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