Iron poisoning in 4 year child is treated by :
**Core Concept**
Iron poisoning in children is a medical emergency that requires prompt treatment to prevent severe complications, including multi-organ failure and death. The primary goal of treatment is to remove the iron from the body and prevent further absorption.
**Why the Correct Answer is Right**
The treatment of choice for iron poisoning is deferoxamine, a chelating agent that binds to iron and forms a stable complex that can be excreted in the urine. Deferoxamine is administered intravenously or subcutaneously, and its use is continued until the iron levels return to normal. This treatment is effective because deferoxamine has a high affinity for iron and can effectively remove it from the body.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because activated charcoal is not effective in treating iron poisoning, as it cannot bind to iron. Activated charcoal is used to treat poisoning with substances that are absorbed in the gut, but it is not useful in this case.
**Option B:** This option is incorrect because penicillamine is a chelating agent used to treat heavy metal poisoning, such as lead or mercury, but it is not effective in treating iron poisoning.
**Option C:** This option is incorrect because vitamin C can actually increase the absorption of iron in the gut, making it a poor choice for treating iron poisoning.
**Clinical Pearl / High-Yield Fact**
In children, iron poisoning can occur when a child ingests a large amount of iron supplement or has access to iron-containing substances, such as paint or medications. The diagnosis of iron poisoning is often made based on clinical symptoms, such as vomiting, diarrhea, and abdominal pain, and is confirmed by laboratory tests that measure the level of iron in the blood.
**Correct Answer: D. Deferoxamine. Deferoxamine is the treatment of choice for iron poisoning in children.**