A 19-month-old, previously healthy Hispanic child was found to have anemia during a routine screening examination; her hemoglobin level was 5.4 g per dL (54 g per L).,The child had a recent history of constipation that lasted two months and was being treated with lactulose (Constulose). The parents denied a history of irritability, lethargy, or abdominal pain in the child. The family lived in an older neighborhood and drank tap water from the city's water supply.
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机译：在例行筛查检查中发现一名19个月大，以前健康的西班牙裔儿童患有贫血。她的血红蛋白水平为5.4 g / dL（54 g / L）。孩子最近有便秘史，持续两个月，正在接受乳果糖（Constulose）治疗。父母否认孩子有烦躁，嗜睡或腹痛的病史。一家人住在一个较老的社区，喝着城市供水中的自来水。
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