Last updated on:January 25th, 2022
You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.
A 15 year old girl presents with intermittent nausea and vomiting for 1 month; this tended to occur approximately 20 to 30 minutes following meals.
Further questioning reveals the presence of continuous dull epigastric pain for 6 months. Her medical and surgical histories are unremarkable.
Her full blood count is significant for a Hb of 9.8 g/dL, with MCV 73 fL, MCH 23 pg, MCHC 31 g/dL. A blood film reveals a hypochromic microcytic anemia, with anisopoikilocytosis.