A 4-Month-Old Boy Is Brought to the Office by His

question 122

Multiple Choice

A 4-month-old boy is brought to the office by his parents due to progressive lethargy, poor feeding, fatigue, and increasing pallor for the past 4 weeks.  Antenatal and birth histories are unremarkable.  The patient's diet consists mainly of breast milk.  Immunizations are current.  Physical examination shows a webbed neck, cleft palate, mild hypertelorism, flat nasal bridge, and pale mucous membranes.  The thumbs appear triphalangeal.  Cardiac examination reveals tachycardia with a systolic ejection flow murmur.  Laboratory results are as follows: Maternal blood type is O+.  Which of the following is the most likely diagnosis in this patient?

• A)Diamond-Blackfan anemia
• B)Fanconi anemia
• C)Idiopathic aplastic anemia
• D)Iron deficiency anemia
• E)Rh incompatibility
• F)Wiskott-Aldrich syndrome

---

Definitions:

Formalizing A Contract

The process of establishing a contract in a specified, official format that is legally binding and enforceable.

Developing Standards

The process of establishing criteria or norms for activities, products, services, or behaviors to ensure quality and consistency.

Eye-Hand Coordination

The coordinated control of eye movement with hand movement, enabling tasks requiring precision like writing or catching.

Crafts Activity

Creative activities involving the making of decorative or functional items by hand.