Clinical Case 8

Medstudents' Homepage

Carlos Eduardo Reis

Case Report-Medstudents: Case 08-1997: A 9-year-old boy with easy bruising and disseminated petechiae

Presentation of Case

A 10-year-old-boy was referred to our institution for evaluation of easy bruising and disseminated petechiae of 10 months' duration. There is no history of fever, cough, chest pain, abdominal or urinary symtoms. Her mother denied allergies or past surgery.

Physical examination reveals a well-developed, well nourished white boy in no acute distress. His vital signs include a pulse of 100 bpm, blood pressure of 130X80 mmHg, respirations of 22/min and a temperature of 37 C.
The patient's skin was pale , as was his mucous membranes. His extremities showed no cyanosis or edema.
Chest - His lungs were clear upon auscultation and his heart rhythm is regular, with a normal first and second heart sound( S1 and S2) and a functional murmur
Abdomen - His abdomen was soft, but revealed hepatoesplenomegaly without tenderness.
Neurological Examination - His neurological development was normal for his age.

Laboratory studies at our institution revealed the following results:
- hemoglobin=9,6 mg/dL
- Leukocyte count=3200 with a normal differential
- reticulocytes=2,1%
- Platelet count=32000
- Total bilirubin was 0,3 mg/dL

Because of anemia, thrombocytopenia and hepatosplenomegaly, a bone marrow aspirate and biopsy were performed.

Now if you know the diagnosis you can confirm it without see the exams, but if you want some help in each buttom you will find patient's exams and diagnosis.

Clinical Case 8

Medstudents' Homepage

Carlos Eduardo Reis

Case Report-Medstudents: Case 08-1997: A 9-year-old boy with easy bruising and disseminated petechiae

Presentation of Case

Bone marrow aspirate and biopsy | Discussion | Diagnosis

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