Discover and read the best of Twitter Threads about #b12deficiency
Most recents (1)
1/9
@jlberrymd #b12deficiency
Here's a cool case with an important take-home message.
A 48 yo M is referred to you with macrocytic anemia. Before looking at the graphic you should have a rough differential diagnosis at your finger tips!
@jlberrymd #b12deficiency
Here's a cool case with an important take-home message.
A 48 yo M is referred to you with macrocytic anemia. Before looking at the graphic you should have a rough differential diagnosis at your finger tips!
2/9
Peripheral smear shows large RBCs, anisocytosis but otherwise unremarkable.
You work up the patient for macrocytic anemia by checking B12/folate and copper levels, liver function, thyroid function, SPEP but you stop short of a bone marrow biopsy. See graphic for results.
Peripheral smear shows large RBCs, anisocytosis but otherwise unremarkable.
You work up the patient for macrocytic anemia by checking B12/folate and copper levels, liver function, thyroid function, SPEP but you stop short of a bone marrow biopsy. See graphic for results.
3/9
All lab tests are negative with the exception of a (VERY) elevated LDH, an increased AST:ALT ratio and low haptoglobin. A CT abdomen was normal (as was the PT/INR and serum albumin).
What is this suggestive of?
All lab tests are negative with the exception of a (VERY) elevated LDH, an increased AST:ALT ratio and low haptoglobin. A CT abdomen was normal (as was the PT/INR and serum albumin).
What is this suggestive of?
