A 5-year-old boy was generally unwell, lethargic and febrile for the last 4 weeks. Physical examination reveal pallor, petechiae, lymphadenopathy and hepatosplenomegaly. CBC showed Hb 6.4g/dl, WBCs 1.5×109/L a) platelets 15.6×109/L, MCV 89fl, MCH 30 pg/cell, MCHC 35 gm/dL, raticulocytes <1%, blood urea 20mg/dl.

👦 A 5-year-old child presents with:

Fever off-and-on for 2 weeks

Petechial spots all over the body

Progressive pallor for 1 month

On examination: Splenomegaly (2 cm below costal margin)

A10 years old boy presented to casualty department with H/O abdominal pain, vomiting, and headache, examination: he was alert but pale BP 140/95mmHg, height 125cm, initial Investigations- CBC: WBC 6000/mm³, Hb 8 gm/dl, Platelets 160 *109/L, Na 127 mmol/l, K 7 mmol/l, chloride 97 mmol/l, Serum creatinine 8 mg/dl, urea 290 mg/dl, Ca 6mg%.