A client presents to the emergency clinic not feeling well. Which of the following complaints leads the health care provider to suspect the client may have acute leukemia?
A) Frequent nausea and vomiting for past week
B) Bleeding from the gums, not related to brushing the teeth
C) Muscle aches and pains in large muscle groups, especially while lying in bed
D) Severe headache with associated photophobia
Ans: B
Feedback:
Although ALL and AML are distinct disorders, they typically present with similar clinical features. Both are characterized by an abrupt onset of symptoms, including fatigue resulting from anemia; low-grade fever, night sweats, and weight loss due to the rapid proliferation and hypermetabolism of the leukemic cells; bleeding due to a decreased platelet count; and bone pain and tenderness due to bone marrow expansion. Nausea and vomiting, muscle aches, and headaches could be associated with other diagnoses like influenza.
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