Chart-8

A 5 year old boy presented with fever, sore throat and fatigue. 

O/E: Pallor and generalized lymphadenopathy were seen.          

Laboratory findings:

Hemoglobin                  - 6 gm/dl

Total leucocyte  count -   1,00,000 cells/cumm

Platelet count               - 50,000 /cumm

Bleeding time               - Prolonged

Clotting time                - Normal

Peripheral blood smear: 

A. Interpret the WBCs findings. 

WBCs are markedly increased in number with many blasts having scant cytoplasm, large nuclei with condensed chromatin, 1-2 prominent nucleoli. 

B. What is your diagnosis? 

Acute Lymphoblastic Leukemia