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A 9-month-old boy presents to the office for his well-child visit. His mother reports that he has been in good health but notes that he enjoys eating rocks and dirt that he finds outside. He was born vaginally at 36 weeks’ gestation after an uncomplicated pregnancy. He was breastfed for the first 4 months of life and was then switched to cow’s milk and a variety of baby foods. She reports that he has an excellent appetite. He has had no illnesses and has never required medications or supplements. The family history is unremarkable. Vital signs include temperature of 98.6 °F (37 °C), heart rate of 145 beats per minute, and respiratory rate of 18 breaths per minute. The conjunctivae are pale, but he has no dysmorphic features, generalized jaundice, scleral icterus, or organomegaly. His complete blood count (CBC) shows a hemoglobin of 10 g/dL and mean corpuscular volume (MCV) of 65 fL. What is the most likely cause of this child’s behavior?
SCIENCE
HEALTH SCIENCE
NURSING

 
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