Pediatrics Recalls By Subject – Hematology

Complete blood count and blood smear of a 2.5-year-old toddler demonstrates the findings in the picture and table

Which of the following is the most likely cause of his disease?

A 4-year-old boy presents with petechia of the trunk and limbs. Examination does not reveal gingival bleeding, hepatosplenomegaly, or lymphadenopathy. Complete blood count is normal except for platelets of 25,000/mm3 (normal values 150-450,000). Peripheral blood smear revealed no blast cells.

Which of the following is the most recommended approach?

A 3-year-old male presents with fever, diarrhea, and vomiting for 5 days, accompanied by malaise

and abdominal pain. Examination reveals hypertension. Blood count and smear are below

Which of the following is the most appropriate treatment for the boy’s most

likely diagnosis?

A 1-year-old male is referred for anemia workup. Examination reveals pallor

of the skin and conjunctivas. Blood smear and laboratory results are below

Which of the following is the most likely diagnosis?

A one-month-old male infant is brought to the emergency room due to a focal seizure. The pregnancy was normal, home birth. The baby is breastfed and gaining weight well. In the anamnesis: after circumcision, he was hospitalized for one day for observation due to bleeding. There is no evidence of diseases in the family.

What is the most likely cause of the baby’s illness?

A six-month-old male is brought for examination due to paleness. According to the mother, he receives iron supplement therapy according to standard practice. The blood count test is as described in the table:

The measured values were demonstrated on 2 consecutive tests. What is the most likely diagnosis?

A 3-year-old male (as described in the image), has short stature for his age, referred for investigation due to incidental blood tests described in the table:

Several “café-au-lait” spots are observed on physical examination.

Which of the following findings are highly likely to be related to the child’s disease?

A 1-month-old infant is referred to the ER due to prolonged seizure. History is positive for significant
bleeding after the umbilical cord detachment. Normal pregnancy and normal home delivery. He is fed
with breast milk and formula and gains weight appropriately. Glucose is 60 mg/dl on glucometer.
Which of the following is the most appropriate treatment?

Below is the blood count of a healthy 1-year-old boy:

Which of the following is the most likely cause of anemia?

A 17-year-old male, vegan since birth, presents with chronic fatigue. Blood count reveals anemia with high MCV. Blood smear is below.

Which of the following symptoms is most likely in this boy?

A 1-year-old is referred for work up due to failure to thrive. History is positive for a few episods of infection, and multiple stools with steatorrhea. Laboratory tests are presented in the table.

Which of the following is the most appropriate treatment?

A 1.2-year-old female, vaccinated according to plan, was hospitalized due to fever and inability to move her right limb. Due to a suspected infectious process, began antibiotic treatment. Hemoglobin 7.2 g/dL in blood count on admission. Therefore, a direct blood smear was performed as described in the image.

Which of the following treatments would most likely be a part of the girl’s treatment?

A 4-year-old boy with a history of many hospitalizations has a blood smear
which reveals Howell-Jolly bodies and the finding in the attached picture.

He is now admitted with suspected bacterial sepsis.
Which of the following is the most likely causative of his sepsis?

A 5-year-old male presents with findings as seen in the attached image. On examination, he is in good general condition, without active bleeding, hepatosplenomegaly, or lymphadenopathy. No fever or pains. His parents deny any history of epistaxis or oral bleeding. On the blood count: platelet level of 25,000, with all other blood counts normal. Peripheral blood smear does not show blasts.

What is the next step in treating this child?

A 15-month-old male underwent a routine blood count showing the following:

On examination, there is no dysmorphism or hepatosplenomegaly.
A peripheral blood smear was taken, results attached:

Which of the following scenarios could explain his condition?

As part of jaundice follow-up in a 9-week-old baby, a hemoglobin value of 10.5 g/dL is obtained. The mother is a vegetarian, the baby is breastfed and gaining weight, the physical examination is normal.

What is the most reasonable reason for this hemoglobin value?

A 10-year-old male presents to the clinic with fatigue, pallor, and recurrent epistaxis and gingival bleeding. In the background, there is a history of ongoing epiphora, recurrent pneumonia, and short stature. On examination, he is missing eyelashes, and the findings shown in the image are observed:
 
Results of the laboratory tests:

Which of the following is a characteristic complication of the child’s illness?

For which of the following diseases bone marrow transplant is the standard treatment?

Male, 8 months of age, currently diagnosed as suffering from anemia. His examination demonstrated evidence of microcephaly and microgenia, glaucoma, and a ventricular septal defect (VSD). Blood tests demonstrated the following results:

What is the reasonable treatment for the child’s condition?

A 9-year-old girl visits the doctor due to pallor, tiredness and glossitis. In anamnesis, she is on a vegetarian diet with limited food types. Blood tests: Hgb 9 mg/dL (normal over 11), MCV 115 fL (normal 80-90) Which nutritional component is most likely to be deficient in her diet?

A 7-year-old girl with iron deficit anemia started oral iron treatment with iron sulfate at a therapeutic dosage. 4 days later repeat blood tests were performed. What is the earliest lab sign that can be expected and indicate treatment efficacy?

A one year and two month-old girl, vaccinated according to age, hospitalized due to fever, dyspnea, reduced saturation and opacity in the chest X-ray.
Blood smear describes the findings in the image:

Blood tests: WBC 3 12,500/mm³ Neutrophils- 77% Hb- 6.5 g/dL Platelets 3 200,000/mm³
Which of the following combination of drugs is a part of the standard of care for girl’s acute diagnosis?

A 5-year-old boy visits the doctor due to fever for the past two weeks, tiredness, weakness and bleeding from gums. Examination: pale, cervical lymph nodes are enlarged, enlarged spleen and sensitivity in the long bones. Blood tests as described in the table Blood smear: normal and no blasts.

Which of the following tests will most likely promote you concerning the child’s disease?

A 4-year-old girl, healthy up until now, presented due to tiredness, pallor and bleeding from gums. In anamnesis: viral disease two weeks ago. Examination:
pale, fast pulse, spleen not palpated. Blood tests, as described in the table:

What is the most likely diagnosis?

A 4-year-old boy, pallor, weakness and tiredness appeared in the last 24 hours. About a week ago he had a febrile disease and bloody diarrhea. Lab tests as described in the table:

What is the most accurate definition of the anemia which the child has in his present disease?