Final answer:
The diagnosis is iron deficiency anemia, common in children who drink excessive cow's milk and do not consume enough iron-rich foods. Treatment involves administering a glycerine-sweetened ferrous ammonium citrate mixture appropriate for a child between 1 to 5 years of age.
Step-by-step explanation:
The subject question is indicative of a diagnosis of iron deficiency anemia in an 18-month-old child, who is a picky eater and drinks a lot of cow's milk. Findings include decreased hemoglobin (H&H), mean corpuscular volume (MCV) of 75, decreased ferritin indicating low iron stores, and increased total iron-binding capacity (TIBC) indicative of the body's increased need for iron. These signs suggest that the child's diet is lacking in sufficient iron, potentially as a result of overconsumption of cow's milk and inadequate intake of iron-rich foods.
For treatment, supplementing with ferrous ammonium citrate is recommended for children aged 1 to 5 years. The mixture should be sweetened with glycerine to make it more palatable, considering the child's picky eating habits. It's essential to manage iron deficiency anemia to prevent delays in growth and development, which can manifest as poor appetite, lethargy, and pallor of the skin in young children.