Oncology- Leukemia


Manage episode 300096754 series 2851469
Oleh Ryan Flaherty, DO, Samantha DeMarsh, DO, and Elizabeth Grogan, MD, Ryan Flaherty, DO, Samantha DeMarsh, Elizabeth Grogan, and MD ditemukan oleh Player FM dan komunitas kami — hak cipta dimiliki oleh penerbit, bukan Player FM, dan audio langsung didapatkan dari server mereka. Tekan tombol Berlangganan untuk mendapat setiap pembaharuan di Player FM, atau salin URL feed ke aplikasi podcast lainnya.

Today we’ll be covering Leukemia, going along with this month’s theme, Oncology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

A 4 year old male is brought to his pediatrician due to concern for fevers and now refusal to walk. His mother has been checking his temperature for the past week since she noticed his energy levels were lower, and he was not wanting to eat. During the same time period, he has complained of pain in his legs, especially at night, leading to him refusing to walk this morning. On exam today, he is tachycardic, tachypneic and overall tired-appearing. You appreciate hepatosplenomegaly on exam, as well as ecchymoses and petechiae on his extremities, and he pushes you away repeatedly when you try to palpate his legs. Anticipating the most likely diagnosis for this patient, which clinical features would be consistent with a poor prognosis?

  1. Male gender & Age >1 year old
  2. WBC of 60,000 & Male gender
  3. (+) Testicular disease involvement & Age >1 year old
  4. (+) CNS disease involvement & WBC of 60,0000
  5. WBC of 40,000 & (+) Testicular disease involvement

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50 episode