5. What is your probable diagnosis?
What are the further tests required ?
6. } 8 yr old, male
} Chief complaints:
◦ Fever for 10 days
◦ Pallor
◦ Jaundice
◦ passage of black colored urine
} On examination : febrile, mild hepatomegaly
Clinical Diagnosis?
12. • A 1.5 yr old male child presented in 2018
with complaints of
- palpable mass in left upper abdomen,
- fever, cough and vomiting
• On examination:
_ pallor
- hepatosplenomegaly (2cm & 6 cm below
costal margin),
• No H/O bleeding, petechiae
Case 3
Clinical Diagnosis: ?
14. • S. Bilirubin: 1.1mg/dl
• Coombs’ test: Negative
• Osmotic fragility test: No tail of fragile cells
• Sickling Test: Negative
• Hb High Performance Liquid
Chromatography (Child & Parents) : Within
normal limit
15. What is your probable diagnosis?
What further test is required ?
16. He was intermittently transfused, however he had persistent
anaemia, thrombocytopenia and increasing splenic size
Bone marrow studies were advised to exclude myelofibrosis
17. What is your final diagnosis?
What further test is required ?
18. Ø A 7 year old female presented with high fever (102.4 F
) with chills & cough – for 5 days
Ø No hepatosplenomegaly
Ø CBC: Hb : 8.2 g/dl, TLC :,9600/Cu.mm, Platelet count
:1, 79,000/cu.mm, MCV : 80.2 fl, rest unremarkable
Ø DLC : P 51 L 40 E 01 M 08
Ø Chest x-ray –Lower lobe consolidation-Right lung
Ø Past history : Four similar episodes in the last two
years
19.
20. What is your diagnosis?
What are the other inclusions seen
in leucocytes?
