VIT B12 Deficiency Anemia.

Vit B 12 deficiency anemia under Ix. Chief Complaints A 17 yr old female has come with pain around umblicus and multiple episodes of loose stool and vomiting for past 4 days. Also giving 1 episode of black colored stool with mucus. No associated fever, dysuria, cough, pain radiation to back, chest pain etc. No H/O HTN, T2DM, Thyroid Disorder, substance abuse. Normal Menstrual cycle, Vegan. No H/O any drug intake or NSAID or any anti coagulant. Pt was examined showing pallor and mild Icterus. No edema, cyanosis or clubbing. Vitals were stable except sinus Tachycardia. Systemic Examination was normal. P/A soft, BS+, No Organomegaly or lymphadenopathy. Routine blood Ix along with workup for Anemia and Jaundice was done. Ix showed Hb of 8 , mild elevated T. Bil, Normal USG, stool for occult blood neg, macrocytic blood picture with Raised MCH and Hypersegmented Neutrophils. Ferritin is normal. Retic count and Sr vit B 12 reports are awaited.

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Macrocytic anaemia Hypersegmented nutrophil B12 Or folate deficiency Inj vitcofol2 cc 10 im od

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