usually B-cells.

often associated with downs syndrome

With regards to prognosis, children have a cure rate of 70-90%.

Investigations

Labs:

• FBC
• blood film
• U and E - high K
• High Phosphate
• High uric acid
• High LDH
• cross match bloods

Imaging:

• CXR

Special tests:

• a lumbar puncture may be performed

Management

• In patients with high WCC leukaemia the priority is to prevent tumour lysis syndrome with subsequent renal failure due to the high cell breakdown, start these immediately:
  • hyperhydration
  • allopurinol