Abstract
12 year old with dizziness, anemia and jaundice
Highlights
Tess Woehrlen1*, Helene Tigchelaar2 and Nirupama Kannikeswaran2 1Pediatric Resident, Division of Pediatric Education, Children’s Hospital of Michigan, USA 2Pediatrics and Emergency Medicine, Carman and Ann Adam Department of Pediatrics, Division of Emergency Medicine, Children’s Hospital of Michigan, USA
Diagnostic studies obtained show a hemoglobin of 6.8 gm/ dL, hematocrit of 20.3%, MCV 106.3 FL, RDW 22.9%, reticulocyte count of 1.3%, a white blood cell count (WBC) of 3.8 K/CUMM, an absolute neutrophil count of 1824 K/CUMM and a normal platelet count
B12 level was low at 142 pg/ mL while folate levels were within normal limits
Summary
A 12-year-old African American adolescent girl presents to the Emergency Department with the chief complaint of dizziness. She has a 6 week history of vague symptoms including decreased appetite, dizziness, fatigue and weakness. Mom noticed yellowing of the eyes and pallor of the palms of the hands for the last two weeks Today she had a syncopal episode that lasted a few minutes without any seizure like activity. Her past medical history is significant for intermittent asthma, eczema, seasonal allergies and cataract of the left eye. Liver enzymes and serum uric acid are within normal limits.
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