Assessment of Megaloblastic anemia: Video, Anatomy & Definition | Osmosis

Question

A 35-year-old woman presents to her provider&#8217;s office for evaluation of fatigue and exercise intolerance that began two months ago. Past medical history is notable for Crohn disease diagnosed eight-years ago. She is taking mesalamine but reports frequent &#8220;flare-ups.&#8221; The patient consumes 3-4 glasses of wine per week. Her temperature is 36.9&#176;C (98.4&#176;F), blood pressure is 123/76 mmHg, pulse is 75/min, and respiratory rate is 12/min. The patient has conjunctival pallor. Cardiac, pulmonary, and abdominal examinations are non-contributory. Neurological examination reveals decreased proprioception and vibratory sensation in the lower extremities. Complete blood count reveals a hemoglobin of 8.8 g/dL and a mean corpuscular volume (MCV) of 115 &#181;m3. Which of the following findings would be most likely present in this patient? &#160;

Accepted Answer

Homocysteine Methylmalonic Acid Findings on Colonoscopy
↑ ↑ Transmural inflammation of the ileum

Answer

Homocysteine Methylmalonic Acid Findings on Colonoscopy
↑ Unchanged Transmural inflammation of the jejunum

Answer

Homocysteine Methylmalonic Acid Findings on Colonoscopy
↑ Unchanged Transmural inflammation of the ileum

Answer

Homocysteine Methylmalonic Acid Findings on Colonoscopy
↑ ↑ Transmural inflammation of the jejunum

Answer

Homocysteine Methylmalonic Acid Findings on Colonoscopy
Unchanged
Unchanged Transmural inflammation of the ileum

Questions or feedback?

Megaloblastic anemia

Pathology

Hematological system