Jack is a previously healthy boy, aged 18 months, who
is brought in by his mother, Annie. Annie is upset and
worried something is wrong after her sister
commented on how pale Jack is.
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VRAAG 1 of 5
1. Question
1 point(s)Question 1 – What history would you seek from Jack’s mother, Annie?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted.Hint
Further information
Annie tells you that Jack is a fussy eater. He likes eggs, fruit
and vegetables but is not keen on meat or fish. He drinks a
300 mL sippy cup of cow’s milk with each meal, totaling three
300 mL cups per day. Annie tells you that her sister has been
diagnosed with coeliac disease, although Jack does not have
any abdominal symptoms to report and has reached his
developmental milestones. There is no personal or family
history of abnormal bleeding -
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VRAAG 2 of 5
2. Question
1 point(s)Question 2 – What would you look for on examination?
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Grading can be reviewed and adjusted.Grading can be reviewed and adjusted.Hint
Further Information
On examination, Jack’s height, weight and head
circumference are on the 50th percentile and following the
growth curve closely. His skin and conjunctiva appear pale,
but there is no scleral icterus. His heart rate is regular;
however, he does have a soft systolic murmur on
auscultation. There is no lymphadenopathy or
hepatosplenomegaly on abdominal examination. -
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VRAAG 3 of 5
3. Question
1 point(s)Question 3 – What is your differential diagnosis for a pale child?
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Grading can be reviewed and adjusted.Grading can be reviewed and adjusted.Hint
Further information
You request some blood tests to investigate your suspicion of
iron deficiency. Jack’s results are shown in Table 1. -
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VRAAG 4 of 5
4. Question
1 point(s)Question 4 – How would you interpret Jack’s blood test results?
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Grading can be reviewed and adjusted.Grading can be reviewed and adjusted.Hint
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VRAAG 5 of 5
5. Question
1 point(s)Question 5 – How would you manage Jack?
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Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -