Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
Progressive neuropathy started 4/5 months ago with pins and needles in the hands and toes. Noticed in the past 2 weeks he has been struggling with his grip and dropping things. Recently struggling with his balance in the past 2 weeks. Mental status -starting to forget where he'd placed things around hishousearound a month ago. Struggling with following long instructions. Sleeping10-12 hours per day and still feeling tired. Symptoms More symptoms: Palpitationsoccurringthroughout the day unprovoked, lightheadedwhen standing up promptly Daily headaches Around 1 stone weight loss in around 3 months and increasing diarrhea.
E- Facial pallor, pale conjunctiva A- Speaking in sentences Superficial bruises on both arms Red tongue, painful to move B- Chest clear bilaterally Baggy clothes Sp02 98% C- HR 115 regular On examination BP 130/85 D- Glucose 5.6 Pupils equal and reactive GCS 14 Abdo soft non tender
Loading dose 1mg hydroxocobalamin IM 3 times a week for 2 weeks Maintenance 1 IM injection 1mg hydroxocobalamin every 2-3 months If thought to be diet related- oral cyanocobalamin tablets 50- 150 micrograms daily or 2x yearly 1mg hydroxocobalamin IM Treatment If neurological involvement- consult specialist advice, treatment may include IM injections alternate days until no further improvement and then 2 monthly
Vitamin B12 (cobalamin) is required for red cell formation and the process of DNA synthesis. Type of macrocytic anaemia Causes include:Dietary issues, alcohol excess, medication (including PPI's and metformin), autoimmune disease such as celiac and thyroid disease,stomach surgery, intestinal conditions such as Crohn s/UC. B12 deficiency Ensure when identifying folate deficiency to check B12 as it can mask B12 deficiency
![Comprehensive Case Study on [Insert Case Title Here]](/thumb/159705/comprehensive-case-study-on-insert-case-title-here.jpg)
