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Noah,
6 years old, was brought back to his pediatrician three weeks
following a streptococcal throat infection. His mother was
worried that the Strep infection had not cleared up as the child
was still complaining of a sore throat and had been very
lethargic.
The physician noted that the child
looked quite pale. The child's throat was still red, although the
pus and
petechiae
previously
noted with the Strep infection were absent. Ears and chest
appeared to be clear although the child cried and seemed to be in
pain when the doctor pressed on the sternum. Upon further
examination, the physician noted that the child's spleen felt
slightly enlarged, as did the
lymph
nodes. He noted that
the child had multiple bruises over his lower extremities. Upon
questioning, the mother commented that the child had been
experiencing excessive nosebleeds. The physician ordered a
CBC,
and a
throat
culture.
1.
What symptoms did Noah exhibit?
2. Are Noah's symptoms
consistent with a Strep infection?
The
results of the laboratory tests were returned the following
day.
3.
Which health professional is responsible for performing Noah's
laboratory tests?
4. What abnormalities were present in
the laboratory tests?
5. Which health professional would
Noah's pediatrician be most likely to consult with?
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