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Search2020-05-20T12:01:36-05:00
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Search Results for B12 deficiency
Abstract Number: 361
CAN YOU SPOT THE SCHISTOCYTES? PERNICIOUS ANEMIA WITH SEVERE B12 DEFICIENCY PRESENTING AS HEMOLYTIC ANEMIA
SHM Converge 2021
Case Presentation: A 51-year-old African American Female with PMHx of sickle cell trait, vitiligo (developed 5 years ago), T2DM, HTN, unspecified seizure disorder who presented with altered mental status and found to have severe pancytopenia. She presented hemodynamically stable with a physical exam notable for: pale conjunctiva and diffuse skin hypopigmentation consistent with vitiligo. Medications: […]
Abstract Number: 574
PROOF IN THE PERIPHERAL SMEAR: SEVERE VITAMIN B12 DEFICIENCY MIMICKING THROMBOTIC THROMBOCYTOPENIC PURPURA
SHM Converge 2021
Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total […]
Abstract Number: 582
HEMOLYTIC ANEMIA – A RARE PRESENTATION OF PERNICIOUS ANEMIA
SHM Converge 2021
Case Presentation: Hemolytic anemia secondary to pernicious anemia is fairly uncommon, and not well described. We present a case of a 39-year-old healthy male with no significant medical history, who presented to the ED for evaluation after a near syncopal episode, along with 2 weeks history of fatigue. In the ED, vitals were unremarkable. Physical […]
Abstract Number: 608
VITAMIN B12 DEFICIENCY DISGUISED AS THROMBOTIC THROMBOCYTOPENIC PURPURA
SHM Converge 2021
Case Presentation: A 77-year-old female with a history of hypertension and osteoporosis presented to the emergency department with dizziness, fatigue, decreased oral intake, and weakness for a few weeks. She also reported blurry vision and paresthesias in her lower extremities. Physical examination including a neurological examination was normal. Laboratory tests revealed a severe macrocytic anemia […]
Abstract Number: 635
UNDIAGNOSED VITAMIN B12 DEFICIENCY AND ITS SEQUELAE IN A PATIENT ON A HUNGER STRIKE: FOOD FOR THOUGHT
SHM Converge 2021
Case Presentation: A 45-year old male was escorted to our tertiary medical center from a prison for evaluation of 40 lb weight loss, paraplegia and recently developed urinary and fecal incontinence. The patient had been on a 7-month long hunger-strike, during which he only consumed one meal per day. In addition to incontinence, he reported […]
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