Question

A 5-year-old boy is found to have pallor and lethargy. FBC shows haemoglobin 82 g/L, low MCV and low ferritin. Coeliac screen is negative. His diet is poor in iron. What is the most appropriate first-line treatment?

Accepted Answer

Oral iron supplementation and dietary advice

Answer

Immediate blood transfusion

Answer

Oral vitamin B12 supplementation

Answer

Refer urgently for bone marrow biopsy

Answer

No treatment; repeat blood test in 6 months

Practice question

A 5-year-old boy is found to have pallor and lethargy. FBC shows haemoglobin 82 g/L, low MCV and low ferritin. Coeliac screen is negative. His diet is poor in iron. What is the most appropriate first-line treatment?