EMQ Paediatric Haematology

 

A. ALL	E. Sickle cell disease	I. Thalassaemia major
B. AML	F. Diffused Large B cell     lymphoma	J. Follicular Lymphoma
C. Haemoglobin Bart’s      hydrops fetalis	G. Hodgekin’s Lymphoma	K. Childhood      myelodysplastic syndrome
D. Thalassaemia ntermedia	H. Dyskeratosis Congenita	L. Fanconi Anaemia

 

 

 

1)      An eight year old boy comes in complaining of tiredness and short f breath. On examination you find he has a congenital hip, café au lait pigmentation on his skin, and is of short stature. The blood results shows pancytopeania.

 

2)      A nine year old boy presents with skin pigmentation, dystrophy of the nails and is of short stature. His mother says that he has learning difficulties. On examination you find white patches on his oral mucosa.

 

3)      Two parents of Afro-Caribbean origin were expecting the birth of their first child. The baby was born extremely oedematous, and upon investigation, she was found to be severely anaemic and unfortunately passed away shortly after birth.

 

4)      A twelve year old girl came in with fatigue, malaise and bruising of her limbs. Her concerned mother says she is often prone to be ill. You notice that she has swellings on the girl’s neck. On examination the swellings appear to be lymph nodes, and there was a palpable spleen. The blood film shows lymphoblast cells.

 

5)      A recently migrated African boy showed up in A+E with shortness of breath. He speaks little English but on examination you find he has a palpable spleen and liver, distension if his abdomen, and his umbilicus is everted. Head X-ray shows frontal bossing.

 

 

 

 

 

 

 

 

 

 

1) L

2) H

3) C

4) A

5)