A child is seen in the pediatrician’s office for complaints of bone and joint pain. Which of the following other assessment findings may suggest leukemia?
A. Increased activity level
B. Increased appetite
C. Petechiae
D. Abdominal pain
Correct Answer: C. Petechiae
Option C: The most frequent signs and symptoms of leukemia are a result of infiltration of the bone marrow. These include fever, pallor, fatigue, anorexia, and petechiae, along with bone and joint pain. Petechiae is brought about by damaged or broken blood vessels underneath the skin.
Option A: Leukemia increases inflammation in the body, which can make a person feel tired and experience fatigue causing decreased activity level.
Option B: Increased appetite can occur but it usually isn’t a presenting symptom.
Option D: Abdominal pain may be caused by areas of inflammation from normal flora within the GI tract or any number of other causes.
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