#3. An 11-month-old Caucasian boy attends his GP as his mother has been struggli
ID: 3477569 • Letter: #
Question
#3. 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 50th centile. Head circumference 50th 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?
Q. Would like to transfuse blood in this child?
Explanation / Answer
ANS) Primarily the first impression of the new born by his pale look is that he is suffering from Haemolytic disease
ANS) Other tests that could help to identify the cause of his pallor and management of the case are: testing of umbilical cord which helps in identification of baby’s blood group and Rh factor and antibodies. or Testing of the baby's blood for checking bilirubin levels.
ANS) RBCs of this baby under the microscope looks like prematured and shortened. The red blood cells are being attacked by mother's cells.
ANS) The mother and her baby having different Rh types has caused this problem in child. Mother of the baby may have been an Rh positive and the baby must have been Rh negative and have not undergone any diagnosis and treatment regarding this during pregnancy
ANS) Yes, intrauterine blood transfusion is the to be done in child if the haemolytic disease has high risk,
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.