Question:
18-year-old male with hepatosplenomegaly, Hb 7 gm percent, LN+, WBC 50K, platelets 30, petechiae, purpura, and fatigue: what is the most appropriate management?
18-year-old male with hepatosplenomegaly, Hb 7 gm percent, LN+, WBC 50K, platelets 30, petechiae, purpura, and fatigue: what is the most appropriate management?
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In cases of hematological malignancy like lymphoma or leukemia, steroids and chemotherapy (like vinblastine) are often used as first-line treatments.
Updated On: Mar 24, 2025
- Cytarabine + Iso?
- IVIG x 2 days
- Prednisolone + Vinblastine
- Radiotherapy to LN
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The Correct Option is C
Solution and Explanation
The presentation is suggestive of a hematological malignancy, likely lymphoma or leukemia, with pancytopenia and lymphadenopathy. The most appropriate management includes the use of prednisolone (a steroid) and vinblastine (chemotherapy), which are commonly used in the treatment of lymphomas.
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