A 6-Year-Old Boy Is Brought to the Office Due to Fatigue

question 557

Multiple Choice

A 6-year-old boy is brought to the office due to fatigue and abdominal distension.  The parents state that the patient bruises easily and appears pale.  Physical examination shows subconjunctival pallor and several ecchymoses on the boy's extremities.  His abdomen is distended with nontender massive splenomegaly and moderate hepatomegaly.  Laboratory studies reveal that his hemoglobin level is 8 g/dL, leukocyte count is 3,800 cells/mm³, and platelet count is 90,000 cells/mm³.  Bone marrow aspirate results are shown in the exhibit.  Which of the following is the most likely diagnosis?

• A)Acute lymphoblastic leukemia
• B)Epstein-Barr virus
• C)Fanconi anemia
• D)Gaucher disease
• E)Parvovirus B19

Grasp the importance of detailed and accurate documentation for case continuity, education, and research-informed practice.

Realize the significance of treatment conferences in assessing client problems, enhancing professional understanding, and formulating intervention plans.

Understand the basic and advanced computer skills recommended for effective documentation and communication in social work.

Identify good writing practices for social work documentation, distinguishing between factual information and personal impressions.

---

Definitions:

External Locus

A belief that one's successes or failures result from external factors beyond one's control, contrasting with an internal locus of control.

Control

The capability to sway or steer the actions of people or the flow of occurrences.

Vicious Cycle

A sequence of reciprocal cause and effect in which two or more elements intensify and aggravate each other, leading to a deteriorating situation.

Self-concept

An individual's perception of themselves, encompassing their beliefs, feelings, and self-awareness.