What symptoms and physical exam findings might you expect to find

Case Scenario 1: Tommy is a 2-year-old brought into the clinic for his well-child examination. His hemoglobin in the clinic is 9g/dL, his serum iron is below normal, TIBC is elevated, and his iron saturation is low. Although in remission, Tommy’s mother mentions she always worries about Tommy since he was diagnosed with infant ALL.

  • Based on these results, what type of anemia does Tommy have?
  • What symptoms and physical exam findings might you expect to find?
  • What is the treatment for this condition?
  • Please give the name of medication, form, dosage, frequency to be given, and describe what follow-up is needed.
  • What are some of the common causes for this type of anemia and what anticipatory guidance will you give the parents?

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