* Amy, a 4-year-old Caucasian female, has been complaining of being tired all the time. She is pale and a picky eater. Her mother is a single mom with a small budget to feed a large family. Amy only eats pasta, breads, and hot dogs, and drinks only artificial fruit punch. Amy is most likely suffering from Iron Deficiency Anemia, because her above diet has no iron incorporated in it. The reason she is tired and pale is because with this deficiency, you need iron to be able to synthesize the hemoglobin and this gives the ability to transport oxygen throughout the body. Anemia develops when there are not enough healthy red blood cells in the body. To prevent would include healthy diet that will include foods that are high in iron and the B complex vitamins because this is essential to developing and maintaining a positive blood count. Amy needs to go to the ER so that they can test her blood for this Deficiency so that way the Doctors can get her supplements and also hopefully they can help the parent to get assistance for food stamps so that way she can have her family eat a healthier diet. Marcus is a 5-year-old African-American male who has just moved to New York City, and is visiting his new pediatrician for a kindergarten physical. His mom tells the nurse that she carries the “trait” and wants
Marcus screened for it. Marcus is most likely needs to be tested for Sickle Cell Anemia because this is most common in African American and it is inherited. Sickle Cell Anemia is a blood disorder disease that is passed down from generation to generation in which the red blood cells form an abnormal crescent shape. Normal red blood cells are shaped like a disc. Some symptoms include fatigue and jaundice. The doctors will look at the history of the family and do a physical exam. They would do a complete blood count as well as a Hematocrit/Hemoglobin Test.