Taking treatment for acute lymphoblastic leukemia. Noticed bloody nose. Cause and cure?
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What are the other medications he is on now other than dexa.
What is his status of ALL of now?
The cause of epistaxis ( nose bleeds) in this child could be
1- either his basic problem
2 local problem in the nose for which you have ENT consult
Good that the platelet counts are OK.
The neutrophils result of 60-80% has to be correlated to the total white blood cell count.
This will give the absolute neutrophil count which is more significant.
Iam sure his oncologist will look into the blood problem after the ENT rules out local problems in the nose!
First, my son's ALL treatment from a cancer's view is good, he will finish his 40 month treatment in about 3 months.
Second, his regular meds are , Methotrexate, 6-mp, Septra, neurontin, zantac, dex, plus his Vincristine every 28 days and once a week he gets 5gms of IgG infusions.
Third, white blood cell count is between a 1 and a 2. Anc on average is about 1200.
His last labs were wbc 1.8
Neutrophils at 69%
lymphs at 16%
This is this a typical cbc for my son.
What can you tell me about the PTT levels being 51 and then the next day 39? He is still getting bad bloody noses.
Thanks for the details.
Regarding your query about PTT: this test is very sensitive.
Some times a small clot in the blood taken for examination can alter the result.
That is how may be you got such different values.
Always doctors want to reconfirm when there is an abnormal result!
A sample error happens in kids where there is difficulty in extraction.
The only way to confirm is to do a third test!
Of course in a child who already has so many pricks doctors will think every time when an extraction is ordered!
Liver involvement will be thought of when there is abnormal coagulation profile.
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