{"ops":[{"insert":"An 11 month old male infant of Laotian origin presents with reduced activity and a lack of interest in his surroundings for two months.\n\nHis stools are not bloody or melenic, but his mother says that his abdomen feels swollen.\n \nShe also complains that the infant cannot stand yet, despite having started to crawl three months ago. All other developmental milestones are age appropriate.\n\nHe consumes a diet of rice, vegetables and meat in addition to being breastfed thrice a day after meals. Feeding has become difficult of late.\n\nAll vaccinations are up to date.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-021_en.png"}},{"insert":"\n"}]}
2
Investigate
Full Blood Count
{"ops":[{"insert":"Hb: 5.4 g\/dl (10.5-13.5)\nRBC: 6.1*10^9\/ml (3.7-5.3*10^9)\nMCV: 58 fl (70-86)\nMCHC: 27g\/dl (32-36)\nRDW-CV: 11.5% (11.5-16)\nWBC, Platelets: within normal parameters\n"}]}
Peripheral Blood Film
{"ops":[{"insert":"There are hypochromic microcytic red blood cells and target cells with occasional tear drop cells. All other cell lines appear normal.\n"}]}