is a feature of chronic gastritis that occurs in response to reduced acid production in parallel to mucosal atrophy.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 60-year-old postmenopausal woman comes to the office because of fatigue, mild jaundice, and tingling in her lower extremities. Laboratory studies show elevated serum concentrations of homocysteine and methylmalonic acid. Complete blood cell count shows mild thrombocytopenia. Which of the following is most likely revealed upon peripheral blood smear for this patient?