Case 63 – the beginning

You are a general practitioner and are reviewing a four year old boy. His mother is worried that he is looking rather pale and has been unusually tired and off his food. He has a sore throat and occasional fever over the last week. He had been given paracetamol with occasional ibuprofen for presumed viral infection which seemed to help. He has just started school and numerous infections had been ‘going around’. When you see the child he is very pale and allows you to examine him fully without much complaint.



  • What would you be looking for on examination of this child?
  • Is there anything else in the history you’d like to know?
  • What is your next move?


Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Anaemia, Paediatric haematology and tagged , , , . Bookmark the permalink.