Approach to Children with Anaemia
Child with Anaemia
- History
- Physical Examination
- Preliminary Investigations:
- Hb, Haematocrit,
- Red cell indices, Blood film
- Reticulocyte count,
Presence of Hepatosplenomegaly?
YES
NO
Differential Diagnosis (YES)
- Malignancies
- Leukaemia, lymphoma
- Chronic haemolytic anaemias:
- Thalassaemia
- Hereditary spherocytosis
- Hereditary elliptocytosis
- Chronic infections
- Tuberculosis
- Malaria
Differential Diagnosis (NO)
- Acute blood loss
- Iron deficiency anaemia
- Acute haemolysis:
- G6PD deficiency
- AIHA
- ABO incompatibility
- Drug induced
- Marrow failure syndromes
- Fanconi anaemia
- Pure Red Cell Aplasia / Diamond Blackfan syndrome
- Others
- Hypothyroidism
- Chronic Kidney Disease (CKD)