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5 Cards in this Set

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Pernicious Anemia B12 deficiency
Causes
*Strict vegan diet
*Autoimmune disease-no intrinsic factor
*Gastric surgery
*Severe Chron’s disease
.
Pernicious Anemia B12 deficiency
Signs and Symptoms
*Changes in mucosal cells
*Anorexia
*Diarrhea
*Pt can be pale
*Mildly icteric
.
Pernicious Anemia B12 deficiency
Classic Lab findings
*Increased MCV (Macrocytic)
*Anisocytosis
*Poikilocytosis
*In severe cases WBC and platelet levels decrease & pancytopenia occurs
*Bone marrow morphology is abnormal
*Increase LDH
*Modest increase indirect bilirubin
*Decreased serum B12
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Pernicious Anemia B12 deficiency
Complications
Peripheral Neuropathy
*Lifelong disorder
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Pernicious Anemia B12 deficiency
Typical Tx
*Parenteral IM injections
.