case study ACUTE LYMPHOCYTIC LEUKEMIA (ALL)

Jun 18th, 2015
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A 16 year old Malay boy, named Mohammad, presented to the emergency department of General Hospital Malacca on 07 January 2011 at 10:27 AM with fever, joint pain and loss of appetite. He was accompanied by his mother. His mother said that his fever was on and off for the last 2 months and with episode of high grade fever for 2 days in a week. Based on his mother’s statement, Mohammad did not experience bleeding, any cough, upper respiratory tract and urinary tract infections symptoms and diarrhoea. Physical Examination On examination, Mohammad sitting blood pressure was 136/68 mmHg, his pulse rate was 112 bpm and body temperature was 38˚C. Mohammad was alert, conscious, can speak in full sentences, pale, and not tachypneic. He has no palpable lymph node. Respiratory has clear and equal air entry, CVS showed Dual Rhythm No Murmur, abdomen soft, non-tender and a palpable spleen of about 4cm. and his CNS was grossly weak. Diagnosis Based on the clinical investigation and physical exam

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Introduction of the ClientA 16 year old Malay boy, named Mohammad, presented to the emergency department of General Hospital Malacca on 07 January 2011 at 10:27 AM with fever, joint pain and loss of appetite. He was accompanied by his mother. His mother said that his fever was on and off for the last 2 months and with episode of high grade fever for 2 days in a week. Based on his mother's statement, Mohammad did not experience bleeding, any cough, upper respiratory tract and urinary tract infections symptoms and diarrhoea.Physical ExaminationOn examination, Mohammad sitting blood pressure was 136/68 mmHg, his pulse rate was 112 bpm and body temperature was 38?C. Mohammad was alert, conscious, can speak in full sentences, pale, and not tachypneic. He has no palpable lymph node. Respiratory has clear and equal air entry, CVS showed Dual Rhythm No Murmur, abdomen soft, non-tender and a palpable spleen of about 4cm. and his CNS was grossly weak. DiagnosisBased on the clinical investigation and physical examination, Mohammed was diagnosed with Acute Lymphocytic/lymphoblastic Leukaemia (ALL).Management PlanUpon admission, the physician ordered IV Tazocin 4.5G TDS, IV infusion of 2 pint Dextrose Saline in 24 hours and FBC test for repeat.Medical HistoryTwo months ago Mohammad was admitted to Hospital Putra, Malacca. His complaint were tiredness (for 1 month), pale, fever and swelling on both hands. Based on the blood test results, his physician diagnosed him with ac

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