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- Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 Which of Elsa’s symptoms is NOT typical of anemia in infants? Paleness…All but one of the following statements are true: Megaloblastic anemia is characterized by abnormally large immature red blood cells with no nuclei. Impaired DNA synthesis arrests cell division, blocking the full maturation of red blood cells. Symptoms of megaloblastic anemia include fatigue, pale skin, and muscle weakness. Megaloblastic anemia occurs with either a folate or a B12 deficiency, disrupting DNA synthesis.Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight.In your own words, briefly describe why Elsa’s parents changed her formula to the high-iron baby formula.
- Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 As Elsa gets older, which of the following choices is NOT a likely complication of her…Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 Which of her blood test results is within normal range? Hemoglobin…Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 In your own words, briefly describe why Elsa’s parents changed her formula to the high-iron…
- Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 In your own words, briefly describe how thalassemia is related to Elsa’s failure to thrive.Expand the following : i) GIFTii) ICSIiii) IUCDChronic myelogenous leukemia (CML) is also particularly well-studied. Most people with CML have a particular genetic change. What is this change, and what two genes are affected by the change ?