What is most likely if a 10-month-old child fed only cow's milk has the following results?
· Serum iron decreased
· Total iron-binding capacity (TIBC) increased
· Ferritin decreased
a. Lead poisoning
b. Chronic disease
c. Iron deficiency from increased need and inadequate diet
d. Iron deficiency from chronic blood loss
ANS: C
The iron studies all point to iron deficiency: low serum iron and ferritin, with an elevated TIBC. Cow's milk is a very poor source of iron, so the infant is not getting adequate iron to support an expanding erythron.
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The majority of Medicaid beneficiaries and enrollees in Medicare Advantage plans receive health care services through HMOs
Indicate whether the statement is true or false.