Paeds Cases · haematology-oncology-and-transfusion
Anaemia: diagnostic approach — OSCE
OSCE reasoning and counselling station for the MCV-based approach to a confirmed paediatric anaemia.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
You have eight minutes with the parent of a two-year-old whose full blood count shows a microcytic anaemia with a low ferritin. Explain the result, outline the directed assessment, and agree a plan.
Station brief (candidate)
- Explain that the count confirms iron-deficiency anaemia by its pattern, not a mysterious or dangerous label. [1]
- Take a focused diet and blood-loss history from the role-player, including milk volume. [1]
- Outline how the mean corpuscular volume and reticulocyte count classified the anaemia, and what red flags would change the plan. [1] [4]
- Agree iron therapy, milk and diet changes, review timing, and a safety-net using teach-back. [1] [2]
- Use shared decision-making and offer an interpreter if language differs. [5]
References5ShowHide
- [1]Wang M Iron Deficiency and Other Types of Anemia in Infants and Children. American family physician, 2016.PMID 26926814
- [2]Leung AKC Iron Deficiency Anemia: An Updated Review. Current pediatric reviews, 2024.PMID 37497686
- [3]Baird DC Alpha- and Beta-thalassemia: Rapid Evidence Review. American family physician, 2022.PMID 35289581
- [4]Celkan TT What does a hemogram say to us? Turkish archives of pediatrics, 2020.PMID 32684755
- [5]Katz AL Informed Consent in Decision-Making in Pediatric Practice. Pediatrics, 2016.PMID 27456510