A 5yo child presents with fever. He looks pale. His parents say he always feels tired. On exam:
orchidomegaly & splenomegaly. Labs: WBC=1.7, Hgb=7.1, Plt=44. What is the dx?
a. ALL
b. CLL
c. AML
d. CML
e. Hodgkins
Ans. The key is A. ALL. [normally in ALL CBC shows raised WBC, low RBC and low platelet; but it is also
possible to all cell lines to be depressed, as is the presented case].