5 year old child is found to be iron-deficient

Discussion in 'MRCS Forum' started by Lona., Nov 3, 2007.

  1. Lona.

    Lona. Guest

    A 5 year old child is found to be iron-deficient. Possible explanations include all the following except -
    a- Increased demands for iron due to accelerated growth
    b- Meckel’s diverticulum
    c- Infestation by hookworm
    d- Peptic ulcer
    e- Recurrent epistaxis
  2. Lona.

    Lona. Guest

    The answer is A. (Rudolph 20/e, pp 1176-1180) Iron deficiency is most common between 6 month and 3 yrs of age. During this period, the need for iron is increased because of accelerated growth, and this need is often not met when the diet consists predominantly of cow’s milk, a uniquely iron-poor food. Growth plateaus during the preschool and preadolescent years and the mixed diets of children in this period are more likely to provide them with adequate iron. Chronic loss of blood from the intestinal tract or from nosebleeds can quickly deplete the iron stores of children. In adolescence, there are increased requirements for iron because of rapid growth. The adolescent female has the additional risk of becoming iron-deficient from the loss of menstrual blood.

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