A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon examination you find that she is having some cognitive difficulty. Laboratory results reveal: MCV: 109fL; Hgb: 9g/dL; MMA and homocystine are both elevated. Shilling test is positive.What is the next best step in the management of this patient?
A. Lifelong folic acid supplementation
B. Lifelong Vitamin B12 supplementation
C. Iron supplementation for 4-6 months
D. Obtain a Coomb"™s test E. Give corticosteroids and iron supplementation
A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon ex
-
answerhappygod
- Site Admin
- Posts: 899604
- Joined: Mon Aug 02, 2021 8:13 am
A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon ex
Join a community of subject matter experts. Register for FREE to view solutions, replies, and use search function. Request answer by replying!