Cathleen Cook, MD, MEd FAAP, East Carolina University - Brody School of Medicine, Greenville, NC

Samantha is a 16 month old Caucasian female seen by her pediatrician for 10 days of fever. Physical exam was notable for a palpable spleen. An ultrasound noted splenomegaly of 11cm. Her pediatrician was concerned after seeing this result and her screening CBC. She was therefore referred to Pediatric Hematology/Oncology.

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