Guided by the findings of both the objective and subjective assessment of the 3 year old, the differential diagnosis that could be derived includes; iron deficiency anemia, thalassemia or lead toxicity. Each of these conditions is associated with microcytic hypochromic anemia as a classical feature. Both thalassemia and lead toxicity can be excluded from the scenario on the basis that thalassemia is a genetically inherited condition that runs in a family and no other member lives with the condition. Lead toxicity cannot predominantly feature in this case since from the subjective assessment, there is no likelihood for lead levels ...
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