hepatomegaly and petchiae .

A mother brings her previously 6 year old son into your clinic because he has been limping and complaining of left leg and knee pain for 1 week. He has experience no recent trauma and his past medical history is unremarkable .His physical examination reveals a temperature of 100 0 F orally with no swelling, misalignment or weakness of the lower extremities .He demonstrates tenderness over right knee, hepatomegaly and petchiae on his cheeks and chest.

What is the diagnosis and next step in the evaluation ?

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