Knowledge Check on Pediatrics: Acute Lymphoblastic Leukemia
QUESTION 1
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question
1. Explain what ALL is?
Acute Lymphoblastic Leukemia
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Acute Lymphoblastic Leukemia
Acute lymphoblastic leukemia is a malignant disease that affects the blood and the bone marrow. It mainly affects the spongy tissue of the bone where blood cells are made, that is, the bone marrow (Rafei et al., 2019). Specifically, the condition leads to the proliferation of immature lymphocytes, also known as lymphoid precursors. These immature lymphocytes replace the normal hematopoietic cells. The word acute is used to describe since the production of immature blood cells occurs rapidly. This cancer is characterized by bleeding of the gums, feeling some pain in the bones, pale skin, and general body weakness, among others. Evidence has shown that ALL is the most common type of cancer affecting children (Pui, 2020). However, there is a high chance of cure with appropriate treatment.
Acute lymphoblastic leukemia occurs when mutations occur in the genetic material that codes for cell growth and development (Kato & Manabe, 2018). Under normal circumstances, this DNA material re...
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