Q:

A 6 year old patient comes with easy bruising in different places when she falls. CBC: WBC 25, Hgb 10.9, Platelets 45. Her Paul bunnel test +ve. What is the most likely diagnosis?

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A 6 year old patient comes with easy bruising in different places when she falls. CBC: WBC 25, Hgb 10.9, Platelets 45. Her Paul bunnel test +ve. What is the most likely diagnosis?


  1. Glandular fever
  2. ITP
  3. Trauma
  4. NAI
  5. Septicemia

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The key is A. Glandular fever. [Suggestive lab. Values: WBC=25 (leucocytosis), Hgb 10.9 (usually patient is not anaemic), Platelets 45 (thrombocytopenia-leading to easy bruising), Positive Paul bunnel test].

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