RT Journal Article
SR Electronic
T1 Fifteen-minute consultation: A guide to managing a child with a new finding of neutropenia
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 282
OP 285
DO 10.1136/archdischild-2019-316829
VO 104
IS 6
A1 Rebecca M James
A1 Bob Phillips
YR 2019
UL http://ep.bmj.com/content/104/6/282.abstract
AB Objective To describe a structured approach for managing a child with a new finding of neutropenia.Method Literature review and consensus practice of clinicians in our regional centre.Conclusion Neutropenia may arise in a variety of situations from a well child with a physiological neutropenia to a sick infant with life-threatening infection. In most cases a thoughtful history and directed examination will help to identify the severity in order to determine an appropriate care pathway.Scenario A 6-year-old boy presented earlier in the day to the acute assessment unit with lethargy and a sore throat. At handover time his blood results are phoned through and show that he is neutropenic.