Determining the Cause

Chief Complaint: Epistaxis

a. History: Fever

b. Physical Exam: Multiple cutaneous petechiae are evident, and there is generalized enlargement of lymph nodes, as well as palpable splenomegaly

Differential Diagnosis

Acute Lymphoblastic Lekemiua,

Pivotal Assessment Findings
Hemoglobin Decreased    

 

Making the Diagnosis_Child

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