A 7-year-old has symptoms of acute lymphoblastic leukemia (ALL). Upon admission to the hospital, she has petechiae on her trunk and extremities, epistaxis and tarry stools. In addition to the symptoms noted upon assessment, the patient may also have which of these symptoms?


•Symptoms of acute lymphoblastic leukemia (also called acute lymphocytic leukemia) are associated with malfunctioning erythrocytes, leukocytes, and platelets. This includes fever, fatigue, anorexia, anemia, petechiae, weight loss, bruising, dyspnea, and bone pain.

•With ALL, bone marrow overproduces lymphocytes and soon becomes unable to continue normal production of other blood components. ALL is the most common type of leukemia in children.

•Muscular twitching, bradycardia, and eosinophilia are not associated with ALL.

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