Question

An eleven month old boy was rushed by ambulance to the hospital with intracranial bleeding, hemarthrosis, and ecchymosis, after a fall on the stairs. A stat hemoglobin and hematocrit and coag screen were performed.

PT: 14.0 sec.

PTT: 58.6 sec.

Not corrected by aged serum/ Corrected by adsorbed plasma

BT: 4 min.

1. Possible deficiency?

2. What additional tests could be ran?

3. What would the treatment be?

Answer 1

Answer:-

1. Iron deficiency

Iron is an essential mineral.

It’s a large component of red blood cells, in which it binds with hemoglobin and transports oxygen to your cells.

The two types of dietary iron are:

Heme iron. This type of iron is very well absorbed. It’s only found in animal foods, with red meat containing particularly high amounts.
Non- heme iron. This type, found in both animal and plant foods, is more common. It is not absorbed as easily as heme iron.

2. Iodine deficiency

Iodine is an essential mineral for normal thyroid function and the production of thyroid hormones (8Trusted Source).

Thyroid hormones are involved in many bodily processes, such as growth, brain development, and bone maintenance. They also regulate your metabolic rate.

Iodine deficiency is one of the most common nutrient deficiencies, affecting nearly a third of the world's population (9Trusted Source, 10Trusted Source, 11Trusted Source).

The most common symptom of iodine deficiency is an enlarged thyroid gland, also known as a goiter. It may also cause an increase in heart rate, shortness of breath, and weight gain (8Trusted Source).

Severe iodine deficiency is linked to serious harm, especially in children. It may cause mental retardation and developmental abnormalities (8Trusted Source, 10Trusted Source

3. Vitamin D deficiency

Vitamin D is a fat-soluble vitamin that functions like a steroid hormone in your body.

It travels through your bloodstream and into cells, telling them to turn genes on or off. Almost every cell in your body has a receptor for vitamin D.

Vitamin D is produced from cholesterol in your skin upon exposure to sunlight. Thus, people who live far from the equator are likely to be deficient unless their dietary intake is adequate or they supplement with vitamin D.

4. Vitamin B12 deficiency

Vitamin B12, also known as cobalamin, is a water-soluble vitamin.

It is essential for blood formation, as well as brain and nerve function.

Every cell in your body needs B12 to function normally, but your body is unable to produce it. Therefore, you must get it from food or supplements.

B12 is only found in sufficient amounts in animal foods, although certain types of seaweed may provide small quantities. Therefore, people who do not eat animal products are at an increased risk of deficiency.

2- Test.

1Head CT

2.CHEST x-ray

Blood Test. CBC

Sodium, Potassium, calcium

Blood suger

Treatment .... Emergency to inform neurosurgeon

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