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

c. Hemoglobin: Decreased

Differential Diagnosis

Acute Lymphoblastic Lekemiua,

Pivotal Assessment Findings
Platelet Cout Decreased    

 

Making the Diagnosis_Child

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