PEDI | Hematology P2 (C/ Drugs)

STAT Stitch Deep Dive Podcast Beyond The Bedside di Regular Guy

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Major Hematologic Disorders

Iron Deficiency Anemia: The most common anemia in children, often caused by excessive milk intake (>24 oz/day) displacing iron-rich foods.

Management: Administer iron supplements (give with Vitamin C/juice, avoid milk) and limit milk intake. Stools may turn tarry green.

Sickle Cell Disease (SCD): Genetic disorder where HgbS replaces normal HgbA, causing RBCs to sickle, obstructing blood flow.

Crisis Management: Prioritize hydration (1.5–2x maintenance), oxygenation, and pain control (opioids, NSAIDs). Medical emergency: Acute chest syndrome or splenic sequestration.

Hemophilia: X-linked recessive clotting deficiency (A=Factor VIII, B=Factor IX).

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