Blood & Lymphoreticular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady has presented with \u0027pica\u0027, i.e. craving of non-food items with little or no nutritional value, followed by ingestion of these substances to satisfy the said cravings.\n\nWhile pica is mainly encountered in children, adults may also experience this symptom; in such cases, this is due to either pregnancy, nutritional deficiencies, or a psychiatric disorder.\n\nNote that the first of the above is excluded by the negative urine pregnancy test; in addition, the normal psychiatric evaluation makes a psychiatric disorder clinically less likely.\n\nHowever, a nutritional deficiency is quite plausible, given that she is a vegetarian, and also breastfeeding.\n\nExamination reveals the presence of pallor and a functional murmur. Could she be anemi"}]}

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