They have recently arrived in this country from Laos. Through a translator you learn that the child has been crying more than usual and has not been eating well. The patient appears thin and somewhat listless, and her conjunctivae are very pale. 98.7o F. Lungs are clear to percussion and auscultation. There is a mid-systolic murmur at the apex.
Abdominal exam is normal, and stool is negative for occult blood.