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Pediatrics Neoplastic disorders of WBCs 1a8810bc

A 5-year-old child presents with history of fever off- and-on for past 2 weeks and petechial spots all over the body and increasing pallor for past 1 month. Examination reveals splenomegaly of 2 cm below costal margin. The most likely diagnosis is:

A
Acute leukemia
B
Idiopathic thrombocytopenic purpura
C
Hodgkin's lymphoma
D
Aplastic anemia
High-Yield Explanation
- Pallor (anemia), petechial spot (thrombocytopenia), fever (infection due to neutropenia) with splenomegaly suggest the diagnosis of acute leukemia. - Splenomegaly eliminates aplastic anemia - Presence of anemia and recurrent infections, go against ITP

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