Question of the Week

Question :
Posted On : 10 Nov 2007
A 9 yrs old boy brought in OPD with only presenting compaint of abdominal distention.No significant past history except some unexplained fever at the age of 4 yrs for 15 days treated successfully with antibiotics. Present abd. distention noticed by parents only 15 days ago.On examination he has prominent dialated veins over sternum distended upper abdomen with enlarged liver-2cms and grossly enlarged spleen almost up to the pelvis.His blood count shows anaemia-Hb 9 Percent and platelets 100,000 other parameters being WNL WHAT MAY BE PROVISIONAL DIAGNOSIS? WHAT INVESTIGATIONS SHOULD BE DONE FURTHER?
4
Expert Answer :
No expert answer available.
Answer Discussion :
P
pediatriconcall
Profile
Rule out portal hypertension, hemolytic anemia and malignancy. The child seems to have hypersplenism.
17 years ago
H
hashim
Profile
inferior vienacaval obstruction
17 years ago
S
Salman Alkhalifa
Profile
portal hyper tension, abd u-s with doppler
17 years ago
D
dr.b.johnson reddy
Profile
chronic myeloid leukemia,peripheral smear
17 years ago




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