#ImageBasedQuestions A young man has a peripheral smear as shown below. Which of the following additional manifestations is he expected to have? State the reason for your answer. a. Purpura b. Pruritis c. Haematemesis d. Tingling and numbness of extremities



D. Hypersegmented neutrophil noted. Megaloblastic anemia. Subacute combined degeneration.

tingling and numbness of extremities. Macropolycyte in B12 and folic acid deficiency anemia

Hyper segmented neutrophil

Hypersegmented neutrophil with macrocytesassociated with vitamin B12 deficiency megaloblastic anemia others signs are pancytopenia and peripheral neuropathy

Yes sir you are absolutely correct!

D Hyper segemented neutrophils.??

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