our patient is an eight-year-old Chinese boy who just moved from China two months ago. He is coming to your office for a physical for school

Your patient is an eight-year-old Chinese boy who just moved from China two months ago. He is coming to your office for a physical for school.

There seems to be somewhat of a language barrier.

According to the parents and the boys just fine.

It is unknown what shots this boy has had in the past.

Observing him in the office is a playful young boy appears to be fit

He is on no medications

Physical reveals

Skin normal except for some cracking around the lips

Gums are normal, but he has poor dentition

Heart is a regular rate and rhythm

Lungs are clear

Abdomen is soft non tender .

Full range of motion of the limbs.

Neuro normal.

Explain the CBC

What is the diagnosis

Is there any other questions you’d like to ask.

WBC 6,200 Hgb 9.8 HCT 28% MCV 68 N 52% L 28 Mono 15 Eso 4

Plts 320,000