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A 44-year old male presented with fatigue, weakness, shortness of breath, palpitations, numbness and tingling in the lower extremities, and mild diarrhea. Examination found tachycardia, liver discoloration, and decreased sensation in the lower extremities. Labs showed macrocytic anemia, neutropenia, and elevated bilirubin. The likely diagnosis is B12 deficiency anemia from distal ileum resection impairing B12 absorption. Symptoms are from anemia, nerve damage from methylmalonic acid buildup, and tachycardia

Author

Shin Thong

Language

EN