Final answer:
The child's decreased hemoglobin, MCV, and RDW suggest iron deficiency anemia or another form of microcytic anemia. Treatments include dietary changes, iron supplements, and avoiding triggers in the case of G6PD deficiency.
Step-by-step explanation:
Diagnosis and Treatment of Anemia in a Child
The clinical presentation of a 10-month-old child with anemia, a varied diet, and a family origin of Italian descent suggests a potential diagnosis of iron deficiency anemia or another form of microcytic anemia. In the case presented, the decreased hemoglobin (H&D), mean corpuscular volume (MCV) of 60, and decreased red cell distribution width (RDW) are indicative of anemia.
The diagnosis could be iron deficiency anemia, which is common in children and is characterized by low hemoglobin levels ranging from 5 to 9 g/100 ml. The condition is often associated with poor appetite, growth and developmental delays, and pallor of the skin. Another possible condition, considering the mother's Italian heritage, is Glucose-6-phosphate dehydrogenase (G6PD) deficiency, which can cause hemolysis in the presence of certain foods or medications.
Treatment for iron deficiency anemia typically includes dietary modifications to include iron-rich foods and possibly iron supplementation. In the case of G6PD deficiency, avoidance of trigger substances is important to prevent hemolytic episodes. Further diagnostic work, including serum iron studies and possibly genetic testing for G6PD deficiency, may be required to confirm the diagnosis.