Combined

Blood & Lymphoreticular System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The infant with anemia is a common problem in primary care - and one which is frequently missed, as these children are often asymptomatic, or manifest only subtle symptoms.\n\nIn this patient, several clinical findings point towards the presence of anemia: reduced activity, lack of interest, poor feeding, and the presence of pallor upon examination; this is confirmed by the full blood count (FBC).\n\nIn infants, anemia may be due to one of several etiologies: physiological anemia, poor dietary intake of iron, gastrointestinal blood loss, helminthic infestation, hemoglobinopathy, or hemolytic anemia.\n\nHis diet appears adequate, and there is no evidence of gastrointestinal hemorrhage. Helminthic infestation of infants is rare in the United States, but should be considered in the developing world, or if there is poor food hygiene.\n\nThe absence of dysmorphism and the normal length centile make the rare possibility of Fanconi\u2019s Anemia unlikely.\n\nIn this clinical context, icterus is suggestive"}]}

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