Student Name : ___________________________ FCA 207: Pediatric Cancer Therapies Assignment 1.

4 Case Study: Ashlee Ashlee is a 4-year-old preschooler who lives with her parents and two older siblings in a suburban environment. She attends preschool five mornings a week and enjoys playing with her 5-year-old sister and 7-year-old brother. She is very active and enjoys playing outside, riding her tricycle, climbing on the family’s jungle gym, and playing on the swing set. Her vocabulary consists of approximately 1500 words and she speaks using four- or five-word sentences. Her parents are very attentive to their children and spend each weekend doing “family activities.” During the week, her parents work, and Ashlee and her siblings stay with their grandmother after school. Their grandmother lives in the same neighborhood. In the evenings, the family eats together and maintains an evening schedule that allows for family play time. During the past 2 months, Ashlee has been less active than usual and has begun taking one or two naps in the afternoon. Her grandmother and parents think she looks pale, reasoning that it is because of her high activity level, until her interest in going outside to play decreases dramatically. When they take her temperature, it is elevated so they administer Tylenol without effect. At this point, they decide to take her to see her primary care provider. Although the provider found Ashlee’s manifestations consistent with an upper respiratory infection, Dr. Polster is concerned and decides to admit Ashlee to the hospital for tests to rule out leukemia. Answer the following questions related to this case study: 1. What diagnostic tests would you expect to be prescribed for Ashlee?

2. Her admission vital signs are: HR 120 bpm, T 38.0 degrees C, RR 28, BP 100/60 and her admission CBC reveals: Hemoglobin: 11 g/dl Hematocrit: 31% Erythrocyte count: 4.6 million/mm3 Platelet count: 130,000/ mm3 WBC count: 4,000 / mm3 Neutrophils: 1,600/ mm3

. and prognosis differences. Include presenting signs/symptoms.200/ mm3 Monocytes: 290/ mm3 Eosinophils: 120/ mm3 Basophils: 30/ mm3 Discuss the significance of Ashlee’s vital signs and laboratory findings. The tests confirm a diagnosis of acute lymphocytic leukemia. 3. Compare the two most common types of childhood leukemia. treatment.Lymphocytes: 1.

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