Question

A 2-year-old boy drinks 1.5 L of cow's milk daily and eats little solid food. He is pale and fatigued. Hb is 85 g/L with microcytosis and low ferritin. What is the most appropriate management?

Accepted Answer

Start oral iron therapy and reduce cow's milk intake

Answer

Reassure; this is normal for toddlers

Answer

Start blood transfusion immediately

Answer

Advise a vegan diet

Answer

Start long-term proton pump inhibitor

Practice question

A 2-year-old boy drinks 1.5 L of cow's milk daily and eats little solid food. He is pale and fatigued. Hb is 85 g/L with microcytosis and low ferritin. What is the most appropriate management?