NR 283 Week 4 Discussion; Relate the pathophysiology of pernicious anemia : Fall 2021

Mr. X, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea,and a sore, swollen tongue. Lately, he also has been experiencing a tingling feeling in his toesand a feeling of clumsiness. Microscopic examination of a blood sample indicated a reducednumber of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes,including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 werebelow normal. Additional tests confir...