Question

A 3-year-old girl presents with pallor and pica. Dietary history reveals high cow's milk intake and poor intake of iron-rich foods. Hb is 85 g/L with microcytosis and low ferritin. What is the most appropriate initial management?

Accepted Answer

Start oral iron supplementation and dietary advice

Answer

Reassure and repeat Hb in 1 year

Answer

Arrange urgent blood transfusion in all cases

Answer

Start corticosteroids

Answer

Avoid iron therapy due to risk of overload

Practice question

A 3-year-old girl presents with pallor and pica. Dietary history reveals high cow's milk intake and poor intake of iron-rich foods. Hb is 85 g/L with microcytosis and low ferritin. What is the most appropriate initial management?