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Exam questionKROK 2Medicine · 2023

A 3-year-old child has been brought to a hospital with complaints of pain in the legs, fever, and loss of appetite. Objectively: pale skin and mucosa, hemorrhagic rash. Lymph nodes are enlarged, painless, dense and elastic, not matted together. Bones, joints, and abdomen are painful. The liver and spleen are enlarged. Hemogram: Hb — 88 g/L, color index — 1.3, platelets — 80 • 109/L, leukocytes — 25.8 •109/L, lymphoblasts — 70%, ESR — 52 mm/hour. Make the provisional diagnosis:

Answer options

  1. Hemorrhagic vasculitis (Henoch-Schonlein purpura)
  2. Infectious mononucleosis
  3. Acute leukemia
  4. Acute rheumatic fever
  5. Thrombocytopenic purpura
Correct answer

Acute leukemia

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