What should you tell Thomas’s father about the tests you are ordering?
Thomas is an 11-year-old who was brought into the clinic today by his father for a 10- pound weight loss over the past 2 weeks, and fatigue, pallor, and joint pain for the past seven days. His father also reports that for the past 6 days, Thomas has had fevers up to 102F. On exam, Thomas looks pale, thin, and mildly ill. You note enlarged anterior and posterior cervical nodes and enlarged inguinal nodes.
- What more should you know about Thomas?
- What differentials are you considering?
- What diagnostic tests/studies should you consider?
- What should you tell Thomas’s father about the tests you are ordering?