11 years girl,fever off and on for 2 weeks, and heavy menstruation for 4 days

siginificant weight loss, appetite loss, No bone and joint painmarked pallor
Rt cervical lymphadenopathy, Hepato splenomegaly ( liver– 4 cm, spleen – 2 cm)

Date Hb WBC Platelet Neutrophil

(dd/mm/yy)

28/4/17 4.8 580.73 30 0. 00

1/5/17 8.4 313 44 0.17
2/5/17 3.2 563 20 1.52
3/5/17 5 533 26 0.48
Leukemia Lymphoma Hour
 Leukemia Lymphoma Hour LL Hour Case: LL-YCH-17-04

Initial Presentation*
Chief Complaint: fever off and on for 2 weeks, and heavy menstruation for 4 days

Key Physical Findings:

marked pallor, Rt cervical lymphadenopathy, Hepato
splenomegaly ( liver– 4 cm, spleen – 2 cm)
Leukemia Lymphoma Hour LL Hour Case: LL-YCH-17-04

Pathology: Immunohistochemistry or Flow Cytometry

YCH
Leukemia Lymphoma Hour LL Hour Case: LL-YCH-17-04

Pathology