12-06-2008, 09:51 AM
A 3-year-old Caucasian boy is broughtto your office by his mother with complaints of irritability and decreased appetite. The mother says that the boy seems weak and has been less active over the last several weeks. The patient regularly spends sometime outside the house under the supervision of his older brother, and the brother saw him eating cement and woodwork several times. The patient's past medical history is insignificant. He has no known allergies. All his vaccinations are up-to-date. He received iron and vitamin D supplements. His vital signs are stable. Physical examination reveals a non-distended abdomen with periumbilical tenderness. What is the best next step in the management of this patient?
A. Urinalysis
B. Complete blood count
¢ C. Basic metabolic profile
¢ D. Upper Gl series
c E. Serum folate level
A. Urinalysis
B. Complete blood count
¢ C. Basic metabolic profile
¢ D. Upper Gl series
c E. Serum folate level