1. YES/NO: The following is concerning and requires further Ix/review:
A) 4 month old girl with a neutrophil count of 0.9 x 10^9/L
1. YES/NO: The following is concerning and requires further Ix/review:
B) 2 year old boy with recurrent otitis media and a neutrophil count varying between 0.2–1.0 x 10^9/L
1. YES/NO: The following is concerning and requires further Ix/review:
C) 10 year old girl from Sudan with a neutrophil count of 1.0 x 10^9/L
1. YES/NO: The following is concerning and requires further Ix/review:
D) 15 year old boy with neutrophil count of 0.6 x 10^9/L after rituximab for renal disease
2. 11 month old twins, previously well and thriving. 6 weeks of recurrent skin infections now growing pseudomonas. Apart from the skin lesions, exam normal. Both neutropenic (0.1 x 10^9/L). Bone marrow examination: normocellularity with increased myeloid activity with a left-shift and with reduction in mature forms; small amount of neutrophil phagocytosis; normal erythroid and megakaryocytic activity, no evidence of leukaemia. Most likely Dx:
A. Severe congenital neutropenia
B. Alloimmune neutropenia
C. Autoimmune neutropenia of infancy
D. Hypersplenism
3. Which of the following features is most consistent with a diagnosis of ITP
A) Absence of dysmorphic features
B) Elevated MCV for age
C) History of easy bruising since infancy
D) Reduced Hb for age
E) Presence of hepatosplenomegaly
Hide known cards