25th July 2024

A father brings in his 3-year-old daughter with Down syndrome to the GP practice

A father brings in his 3-year-old daughter with Down syndrome to the GP practice as her oral intake is decreased. The child has been seen by different GPs over the last couple of months with recurrent chest infections. The child appears pale and tired. On examination you note bruises of variable age on her limbs, abdominal tenderness and a palpable mass in the left upper quadrant.

What is the most likely diagnosis?

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