Vitamin B12 deficiency physical examination

Vitamin B12 deficiency Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

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

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