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Pages:
1 page/≈275 words
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4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
Date:
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Topic:

Pediatrics: Acute Renal Failure and Acute Lymphoblastic Leukemia

Essay Instructions:

QUESTION 2
Scenario 1: Acute Lymphoblastic Leukemia (ALL)
An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen.
Maternal history negative for pre, intra, or post-partum problems.
PMH: Negative. Easily reached developmental milestones.
PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.
LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.
DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.
CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing.
Question
1. Why does ARF occur in some patients with ALL?

Essay Sample Content Preview:

Acute Renal Failure and Acute Lymphoblastic Leukemia
Student's Name
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Acute Renal Failure and Acute Lymphoblastic Leukemia
There is extensive evidence showing that renal failure is one of the most common complications of Acute Lymphoblastic Leukemia (Pui et al., 2019). In most cases, these complications manifest after the initiation of chemotherapy. Although possible, it is very rare to have acute renal failure present as a primary complication of Acute Lymphoblastic Leukemia. This paper will investigate why acute renal failure occurs in some patients with ALL. There are several factors that may lead to the development of acute renal failure in patients with ALL. One such factor is leukemic infiltration of the kidneys. Although such infiltration is not a major cause of acute renal failure, there exists evidence to show that it may be a causative factor in some situations (Kato & Manabe, 2018).
The second main factor for the occurrence of acute renal failure in patients with ALL is the side effects related to therapy. One example of such side effects is the tumor lysis syndrome. In this condition, a la...
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