An 11-month-old Caucasian boy attends his GP as his mother has been struggling to wean him from her breast milk. On examination, he appears pale and refuses the semisolid food (baby food). No hepatosplenomegaly, or icteric conjunctiva. ENT normal.

CBC: Hb 7.8g/dl, MCV 69fl, RBC count normal, WBC normal, Platelets normal, PT and PTT normal. Height and weight 50^th centile. Head circumference 50^th centile. Vaccination up to date and not recent history of infection.

Q. What is the initial impression of the case?

 

 

Q. What other test/s could help to identify the cause of his pallor and management of the case?

 

 

Q. What will be the RBCs look like under the microscope of this child?

 

 

Q. What is one thing very wrong that may have caused this problem in the child that you can see from the given history?

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