RT Book, Section A1 Thompson, Margaret C. A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114880040 T1 Iron Deficiency Anemia T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114880040 RD 2024/11/08 AB A 24-month-old well appearing girl who is at the 50th percentile for height and 95th percentile for weight is being evaluated by her pediatrician. Her vital signs reveal a heart rate of 150 per minute, blood pressure 85/50 mm Hg, and respiratory rate of 15 per minute. She is noted to be an active toddler sucking on a bottle and upon questioning the mother reveals that the girl drinks 38 ounces of whole milk a day. She is not jaundiced or icteric but the pediatrician notes that she has conjunctival pallor (Figure 209-1). No hepatosplenomegaly is appreciated. Because of the conjunctival pallor and the dietary history, the pediatrician obtains a complete blood count, which shows a white blood cell count of 5100/mm3, hemoglobin 6.1 g/dL, and platelet count of 499,000/mm3. The lab reports microcytosis, hypochromia, mild anisocytosis, and polychromasia. There is no basophilic stippling. A diagnosis of iron deficiency anemia is made and the girl is treated with oral ferrous sulfate. The pediatrician suggests that the amount of milk intake should be limited to 20 ounces per day. One month later, her hemoglobin increased to 8 g/dl and she is continued on iron supplementation for 3 months after her hemoglobin is normal for age.