What additional questions would you want to ask mom

Reference no: EM133271478

Anemia Case Study - Mario is an 18-month-old, who presents to the primary care providers office with his mother for a well-child visit. His mother tells the NP that she is concerned that Mario is pale and skinny. He recently has had a few nosebleeds and seems fussier than usual without any identifiable cause. The NP is seeing Mario for the first time and notes general pallor in a quiet toddler sitting on his mother's lap. Mario was seen in the office 3 months ago for an ear infection and fever, and at that time he was given amoxicillin. Although Mario's mother did not bring him back for a follow-up, she states he got better very fast and has been fine. She states she had an uncomplicated pregnancy except for hyperemesis and poor weight gain in the first 4 months of pregnancy. Her labor and delivery were uneventful, and he was discharged home with mom at 2 days of age. He has had no hospitalizations, surgeries, major illnesses, or visits to the ED. FH: parents in good health, do not smoke or take medications, and have no health problems. Unremarkable family history. SH: Lives at home with mom and dad, no pets. Family lives in an older home which they presently are in the process of renovating. VS: HR 112, RR 24, T 97.8F, and HT and WT are below the 3rd percentile. The oral mucosa is pale and moist, His neck, lungs, heart, and musculoskeletal are unremarkable. Abdominal exam is positive for palpable stool Neuro exam: deep tendon reflexes and cranial nerves grossly intact. Assessment: pallor, fatigue, r/o anemia. Based on this case study:

1. Provide 3 differential diagnoses along with rationale and ICD codes.

2. Based on the information in at this time, what additional questions would you want to ask mom?

3. If the iron indices (labs) come back normal, what may you suspect as a possible diagnosis and why?

Reference no: EM133271478

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