Q:

A 61 year old man underwent a surgery in which ileal resection had been done. He complains of fatigue, headache, and heart racing. Labs: MCV 108fL, Hgb 8.9g/dL. What is the most likely diagnosis?

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A 61 year old man underwent a surgery in which ileal resection had been done. He complains of fatigue, headache, and heart racing. Labs: MCV 108fL, Hgb 8.9g/dL. What is the most likely diagnosis?


  1. Vit B12 deficiency
  2. Iron deficiency
  3. Folate deficiency
  4. Hemolytic anemia
  5. Anemia of chronic disease

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The key is A. Vit B12 deficiency. [Vit B12 is absorbed mostly in ileum. As ileal resection is done B12 is not absorbed leading to megaloblastic anaemia].

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