<prompt> A 5-year-old boy comes with overnight petechial spots 2 weeks back he had a history of abdominal pain and no hepatosplenomegaly. Diagnosis isAute lymphatic leukemiaAplastic anemiaIdiopathic thrombocytopenis purpuraAcute viral infection  <response>: Petechial spots without hepatosplenomegaly in a 5-year-old boy suggest the diagnosis of ITP.About other optionsAcute leukaemiaAcute leukaemia will give features of involvement of all the three lineages i.e.anaemia erythrocyte involvementfever due to neutrophil involvementbleeding due to platelet involvementMoreover, splenomegaly and lymphadenopathy are usually present in Acute leukaemias.Aplastic anaemiaAplastic anaemia too will present with features, characteristic of involvement of all the three lineages i.e. severe anaemia, fever bleeding. 