Blood disorders are assessed
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Please help me finish diagnosing and treating these three patient.I need help with details about each of the three conditions.
I have little on Amy and Marcus but am stumped on Richard.See attached. Please include a description of the cause of the disorder, how it can be diagnosed, what can be done to treat it, and how to prevent it in the future.
Amy, a 4-year-old Caucasian female, has been complaining of being tired all the time. She is pale and a picky eater. Her mother is a single mom with a small budget to feed a large family. Amy only eats pasta, breads, and hot dogs, and drinks only artificial fruit punch. (Vitamin Deficiency Anemia?}
Marcus is a 5-year-old African-American male who has just moved to New York City, and is visiting his new pediatrician for a kindergarten physical. His mom tells the nurse that she carries the ―trait‖ and wants Marcus screened for it. {Sickle Cell}
Richard has noted over the past several weeks that he is having more bruises, or ecchymosis, all over his body. After coughing this morning, he noticed tiny red marks all around his eyes. {this one I am stumped}
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Blood disorders are featured.
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You seem to have a lot of information about Vitamin B12 and Folate deficiency... I suspect something like that is going on with Amy but we should examine this in more detail.
Amy's presenting symptoms are consistent with a vitamin deficiency (see http://www.something-fishy.org/dangers/vitamins.php), especially given that she doesn't eat fruits or vegetables. Pastas and breads are often iron-fortified, so she is not likely to be deficient in that, and there is a fair amount of protein in these grain-based foods, and the hotdogs. She does not have much in her diet that provides vitamins though.
If she has a deficiency specifically related to B12 or folate, she will exhibit megaloblastic anemia (see http://www.umm.edu/blood/aneper.htm), which will be seen in a blood test as enlarged and maybe deficient red blood cells (see http://www.medicinenet.com/pernicious_anemia/page4.htm). A rare ...
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