Vitamin B12 deficiency physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Megaloblastic anemia with ineffective erythropoiesis (inc bili/LDH); atrophic glossitis; and subacute combined degeneration of the spinal cord:

• Paresthesias, LE weakness, spasticity, ataxic gait
• Loss of vibration and position sense
• Dementia, personality change
• Dark nails

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