SAQ 1222 – Paediatric pallor and failure to thrive with blood count abnormalities

Marked out of 10.00

A two-year-old Vietnamese child is referred by her GP for assessment of pallor and failure to thrive, probably dating back to her first birthday. Her full blood count is shown below.

Parameter	Result	Reference range
Hb	26 g/L	135-175
MCV	60 fL	80-100
HCT	0.1 L/L	0.37-0.47
WCC	9 x 10^9/L	3.5-11.0
Platelets	324 x 10^9/L	140-400
Reticulocytes	5.3%
Neutrophils	3.24 x 10^9/L	1.7-7.0
Lymphocytes	4.37 x 10^9/L	1.5-4.0
Monocytes	1.3 x 10^9/L	0.1-0.8
Eosinophils	0.06 x 10^9/L	0.04-0.44
Basophils	0.00 x 10^9/L	0.0-0.2

Pencil cells were noted on the blood film.

List the three most important features of this blood count.

(Marked out of 3.0)

/ 3

List the four most important differential diagnoses and historical discriminators.

(Marked out of 4.0)
Differential diagnosis | Historical discriminator<br /> 1 |<br /> 2 |<br /> 3 |<br /> 4 |

/ 4

What are your initial management priorities?

(Marked out of 3.0)

/ 3

Total Score: 0 / 10

Percentage: 0%