An aggressive discovery in a teen
Dr Tricia Wright, FRACP, FRCPA, Haematologist
CLINICAL examination shows bilateral cervical and supraclavicular lymphadenopathy. He is afebrile and there are no other findings. A full blood count, E/LFTs, EBV serology and an ESR are requested.
Later that day the results are sent through electronically with an urgent review flag. These show: Hb 133g/L (140–180), WCC, 26.3 x109/L (4-11), platelets, 71 x 109/L (150–450). BLOOD FILM PENDING.
He also has hypercalcaemia 3.1mmol/L (2.10–2.60) and renal impairment