TY  - CHAP
M1  - Book, Section
TI  - Nutritional Disorders in Children
A1  - Uko, Victor E.
A1  - Mahajan, Lori A.
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
Y1  - 2015
N1  - 
T2  - The Color Atlas of Pediatrics
AB  - An  18-month-old  female  was  brought  in  for  evaluation  of  a  pale  appearance.  She  was  described  as  an  active  toddler  with  no  recent  fatigue,  melena,  or  hematochezia.  She  was  described  as  a  picky  eater  and  has  averaged  30  to  40  ounces  of  milk  intake  per  day  for  the  past  6  months.  Family  history  and  past  medical  histories  were  noncontributory.  On  exam,  height  and  weight  were  at  the  50th  percentile.  Examination  was  normal  except  for  a  pale  appearance,  spooning  of  her  nails  (Figure  63-1),  mild  tachycardia,  and  a  grade  II/VI  systolic  ejection  murmur  heard  best  over  the  left  lower  sternal  border.  Labs  were  significant  for  the  following:  Hgb  7.0  g/dl,  Hct  21.0  percent,  MCV  52  fL,  RDW  18  percent,  reticulocyte  count  1.9  percent,  total  iron  10  ug/dL  (30  to  140  ug/dL),  transferrin  saturation  9  percent  (11  to  46%),  and  ferritin  16  ng/mL  (18–300  ng/mL).  Peripheral  smear  showed  microcytosis,  hypochromia,  mild  anisocytosis,  and  polychromasia.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/24
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114872656
ER  -