SAQ 1185 – Adolescent with fever, bruising and neurological symptoms

A 14-year-old girl is referred to the ED by her GP with abnormal blood results. She reports one week of fevers, lethargy and spontaneous bruising on her limbs. Her mother says she is usually well and doing well at school.

She reports headache and weakness in her hands. Her observations are normal. The GP referral letter flags Hb 60, WCC 0.4 with neutrophils 0.1, and platelets 4.

List four (4) broad diagnostic categories for this presentation and give a specific diagnosis example for each.

(Marked out of 4.0)
Diagnostic category | Specific example<br /> 1. |<br /> 2. |<br /> 3. |<br /> 4. |

/ 4

List four (4) specific examination findings you want to know and why.

(Marked out of 4.0)
Examination finding | Why it matters<br /> 1. |<br /> 2. |<br /> 3. |<br /> 4. |

/ 4

Aside from repeating baseline blood tests, list and justify three (3) specific investigations that are most important at this point.

(Marked out of 3.0)
Investigation | Justification<br /> 1. |<br /> 2. |<br /> 3. |

/ 3

Total Score: 0 / 11

Percentage: 0%