3-year-old plump, healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother, you found that the child refused solid food,instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once,but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure, heart rate, and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The most likely diagnosis for this child isAppropriate therapy should include:
A: Transfusion of whole blood to get her to a normal hemoglobin,and then initiation of oral iron replacement.
B: Discussion with the family about dietary changes, and then initiation of oral iron replacement.
C: Intramuscular iron injection and follow-up visit in 1 week.
D: Hospital admission to monitor vital signs.
E: Reassuring the parents that the behavior and laboratory findings are normal.