Pediatrics: Iron Deficiency Anemia

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Match the following clinical features with their association in iron deficiency anemia:

Pallor = Associated with iron deficiency anemia Pagophagia (eating ice) = Associated with iron deficiency anemia Glossitis - atrophy of papillae of tongue = Associated with iron deficiency anemia Kilonychia – spoon shaped nails = Associated with iron deficiency anemia

Match the following complications with their association in iron deficiency anemia:

Low physical performance = Complication of iron deficiency anemia Impaired cognitive functions = Complication of iron deficiency anemia Poor learning abilities = Complication of iron deficiency anemia Increased risk of Breath-holding spells = Complication of iron deficiency anemia

Match the following investigations with their association in diagnosing iron deficiency anemia:

Complete Blood Count : Low Hemoglobin = Associated with iron deficiency anemia diagnosis Blood film : Microcytic hypochromic anemia = Associated with iron deficiency anemia diagnosis Serum Iron Profile : Low Serum Ferritin < 10 ng/ml = Associated with iron deficiency anemia diagnosis Serum Iron Profile : Low Serum Iron = Associated with iron deficiency anemia diagnosis

Match the following treatment options with their association in managing iron deficiency anemia:

<p>Diet modification (less milk, more meat products) = Part of the treatment for iron deficiency anemia Oral Iron therapy = 3 – 6 mg elemental iron/kg/day for 3 months = Part of the treatment for iron deficiency anemia IV Iron (given in severe anemia, malabsorption or oral iron intolerance) = Part of the treatment for iron deficiency anemia Transfusion of packed red blood cells = Not a typical treatment for iron deficiency anemia</p> Signup and view all the answers

Match the following symptoms/behaviors with their association in iron deficiency anemia:

<p>Restless behavior / irritability in children = Associated with iron deficiency anemia Pica = Associated with iron deficiency anemia Poor appetite = Associated with iron deficiency anemia Nausea and vomiting = Not typically associated with iron deficiency anemia</p> Signup and view all the answers

Which of the following clinical features is NOT associated with iron deficiency anemia?

<p>Glossitis - atrophy of papillae of tongue</p> Signup and view all the answers

Which investigation is NOT typically used in diagnosing iron deficiency anemia?

<p>Stool culture</p> Signup and view all the answers

What is the recommended treatment for iron deficiency anemia in severe cases or malabsorption?

<p>IV Iron</p> Signup and view all the answers

Which complication is NOT associated with iron deficiency anemia?

<p>Increased risk of Heart attack</p> Signup and view all the answers

What is the main symptom of iron deficiency anemia seen in children?

<p>Restless behavior / irritability</p> Signup and view all the answers

Which of the following is a clinical feature of iron deficiency anemia?

<p>Increased risk of breath-holding spells</p> Signup and view all the answers

What is the recommended daily oral iron therapy for managing iron deficiency anemia?

<p>3 mg elemental iron/kg/day for 3 months</p> Signup and view all the answers

What is a common behavior observed in children with iron deficiency anemia?

<p>Pica</p> Signup and view all the answers

Which investigation is typically used in diagnosing iron deficiency anemia?

<p>Serum ferritin level test</p> Signup and view all the answers

What is a complication associated with iron deficiency anemia?

<p>Impaired cognitive functions</p> Signup and view all the answers

Study Notes

Iron Deficiency Anemia

  • Anemia is defined as a reduction of hemoglobin concentration below normal values for age and sex.
  • Iron is the main substrate for hemoglobin synthesis in bone marrow.
  • Iron deficiency is the most common nutritional deficiency, affecting 30% of the world's population, and Fe deficiency anemia is the most common type of anemia.

Prevention of Iron Deficiency

  • Breast milk is relatively deficient in iron, and animal milk is a very poor source of iron.
  • Baby stores of iron, derived from the mother, are depleted before the age of 4-6 months.
  • Babies need iron supplementation from the age of 6 months onwards, at a rate of 1mg elemental Fe/kg/day.

Importance of Iron in Hemoglobin

  • Iron is an essential part of hemoglobin, and is necessary for hemoglobin synthesis in bone marrow.

Causes of Fe Deficiency Anemia

  • Reduced intake of iron
  • Malabsorption of iron
  • Increased demand for iron
  • Blood loss

High-Risk Group

  • Children under 3 years of age who take a large amount of unfortified animal milk daily are at risk of iron deficiency

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