Painful 2

Blood & Lymphoreticular System


Step 1: View Clinicals

{"ops":[{"insert":"A 10 year old girl presents with fever, vomiting, and mild generalized abdominal pain for 3 days. No other symptoms were present.\n\nHer medical, surgical, family, and birth histories are unremarkable, while her growth and development have been normal so far. She is on a standard adult diet.\n\nA complete blood count is significant for a Hb of 3.1 g\/dL, MCV of 131 fL, and reticulocyte count of 10%. A liver profile reveals a serum bilirubin level of 5.1 mg\/dL, with direct bilirubin amounting to 1.2 mg\/dL.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-121_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Peripheral Blood Film
2. LDH + Urine Urobilinogen

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