Bayangkan seorang kanak-kanak datang kepada anda dengan bintik-bintik merah di badan,tangan,kaki dan muka dengan ditemani ibunya
Welcome her and the child, give them a smile
Personal History = semua orang tahu ناس عمر
Name,Age,Sex
Occupation,Marital Status [of course does not apply here], Residence
ساكِن فين؟ جَنْبِك أي مصانع؟
this is one crucial question,to measure any toxic possibilities [according to the prof]
let's proceed to the complain
words that may come from the guardian
نزيف / ينْزِفْ من كل حِطَّة في جسمه
بينزف من مناخيره
بينزف من بوقه
في نُقَطْ حمراء على جسمه
of course then,analyze the complaint, OCD
onset,course,duration
one thing you should ask 'SITE'
في نفس الحكاية على ظهره؟
remember Henoch–Schönlein
among other things;
جاله سخونية قبل الحكاية ده؟
remember aplastic anaemia,leukaemia
حصل برد من قبل حكاية ده؟
حصل ألم في المفاصيل؟
remember leukaemia
عظمة أخباره ايه؟
remember leukaemia
المعدة بتورم / البطنة بتورم؟
remember acute leukaemia
في أي كلاكيع؟
of course,kalakie is any lumps:referred to lymphadenopathy
بِيَتَنَقُّلِ دم قبل كده؟
remember words for pallor
بهتان / شُحُوب
ask for other symptoms
i.e : chest, heart
anaemia leads to Heart Failure! how?
then proceed with routine questions
i.e : antenatal,natal,postnatal,vaccination
Family History
any similar condition amongst siblings,family member
mental manifestations give alarm signal for cerebral haemorrhage
proceed to general examination
possibilities :
Immnue Thrombocytopenic Purpura
Aplastic Anaemia
Acute leukaemia
and many others
that's all for now, see you again! xoxo
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