Assignment task: Review the following case study.
Question 1: Which of the four most common types of leukemia (acute lymphocytic vs. acute myelogenous or chronic lymphocytic vs. chronic myelogenous) is most likely? ALL vs. AML vs. CLL vs. CML
Question 2: What led you to this decision? Please support your answer with physical exam findings and lab values. List any other diagnostic test(s) you would recommend to confirm your suspicion? If you are correct in your diagnosis, what would this client's treatment plan likely consist of?
A 13-year-old female presents with the recent onset of fatigue, fever of 100°F, and epistaxis over the past week.
She has no past medical history except for mononucleosis last year. She is generally very healthy and has not had any surgeries.
Physical exam findings: pale conjunctiva, multiple petechiae on lower legs, and abdomen soft with hepatosplenomegaly.
LAB RESULTS:
CBC Results
WBC - 12.0
HGB - 8.30
HCT - 25%
RBC - 5.0
MCV - 90
MCH - 32
MCHC - 31 g/L
Platelets - 45,000
Blasts - 85%