Minimal Meat in Pediatrics — 2yo Child | General Pediatrics | SMLE Q#1645

SMLE Question #1645

Pediatrics General Pediatrics
Last updated: February 2026
A 2-year-old boy has poor weight gain and pica for 3 months. His diet is mainly bread and sweet tea with minimal meat, dairy, or leafy vegetables. He has easy bruising and gum bleeding with tooth brushing. Examination shows pallor and scattered ecchymoses without jaundice or hepatosplenomegaly. Coagulation studies show markedly prolonged PT/INR with only mildly prolonged aPTT and normal platelet count. What is the most appropriate initial treatment for his coagulation abnormality?

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