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Pediatrics General 74f8bcd1

Child having long history of hemoglobin 5 gm% next step?

A
Blood transfusion
B
CBC,reti count with periphesal smear.
C
Sta Iron
D
Hb elechophoresis
High-Yield Explanation
Ans. is 'b' i.e., CBC,reti count with peripheral smear In above question, if child is stable, then no need to give blood transfusion. Before staing Iron, we have to rule out types of anemia as Iron is indicated only in nutritioral anemia. Hb ele ctrophoresis is indicated if there is featuer of hemolytic anemia (thalassemia) so over all our next step is complete hemogram with manual peripheral smear examination. (obtion b).

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