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Pediatrics General 5cc33653

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 the past 1 month. Examination reveals splenomegaly of 2 cms below costal margin. The most likely diagnosis is:

A
Acute leukemia
B
Idiopathic thrombocytopenic purpura
C
Hypersplenism
D
Aplastic anemia
High-Yield Explanation
This child is having fever, pallor, petechiae, splenomegaly; so most likely diagnosis is acute (lymphoblastic) leukemia. Ref: O P Ghai Essential Pediatrics, 6th Edition, Pages 303, 323, 561, 563 ; Vascular and Interventional Radiology: Principles and Practice, Cuis W. Bakal - 2002

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