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A 7-Year-Old Boy Is Brought to the Office Due to Easy

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A 7-year-old boy is brought to the office due to easy bruising and frequent epistaxis for 2 weeks.  Temperature is 36.7 C (98 F) , blood pressure is 106/60 mm Hg, pulse is 94/min, and respirations are 18/min.  Examination shows pale lips with mucositis in the oropharynx.  The neck is supple.  The abdomen is soft, and pulses are 2+.  Laboratory results are as follows: A 7-year-old boy is brought to the office due to easy bruising and frequent epistaxis for 2 weeks.  Temperature is 36.7 C (98 F) , blood pressure is 106/60 mm Hg, pulse is 94/min, and respirations are 18/min.  Examination shows pale lips with mucositis in the oropharynx.  The neck is supple.  The abdomen is soft, and pulses are 2+.  Laboratory results are as follows:   Findings from a bone marrow biopsy are shown in the image below:   Which of the following is the most likely diagnosis? A) Acute lymphoblastic leukemia B) Aplastic anemia C) Myelodysplastic syndrome D) Myelofibrosis E) Parvovirus B19 infection Findings from a bone marrow biopsy are shown in the image below: A 7-year-old boy is brought to the office due to easy bruising and frequent epistaxis for 2 weeks.  Temperature is 36.7 C (98 F) , blood pressure is 106/60 mm Hg, pulse is 94/min, and respirations are 18/min.  Examination shows pale lips with mucositis in the oropharynx.  The neck is supple.  The abdomen is soft, and pulses are 2+.  Laboratory results are as follows:   Findings from a bone marrow biopsy are shown in the image below:   Which of the following is the most likely diagnosis? A) Acute lymphoblastic leukemia B) Aplastic anemia C) Myelodysplastic syndrome D) Myelofibrosis E) Parvovirus B19 infection Which of the following is the most likely diagnosis?


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