A 55 year old male after gastrectomy developed anemia. His MCV=106fl. Exam: loss of proprioception and vibration sense. What is the most likely diagnosis?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:6| Question number:23
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Medicine
The key is C. Vit B12 def. [gastrectomy –> deficiency of intrinsic factor –> Vitamin B12 def. leading to macrocytic anemia and resulting subacute combined degeneration of cord causing loss of proprioception and loss of vibration sense].
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