megaloblastic anemia…

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megaloblastic anemia, view of red blood cells, hypersegmented pmn, close-up, blood cells, anemia, megaloblastic, megaloblastic anemia, blood disorder characterized by anemia, red blood cells, larger than normal, resulting, a deficiency of folic acid, vitamin b-12, deficiencies of vitamin b-12, folic acid, the most common causes, megaloblastic anemia, leukemia, myelofibrosis, multiple myeloma, certain hereditary disorders, drugs that affect dna synthesis chemotherapy agents, methotrexate, alcohol, risk factors relate, pernicious anemia, loss of appetite, diarrhea, tingling, numbness of hands, feet, pale skin color, tiredness, headaches, sore mouth, tongue, change in skin color, examination of neurological signs, abnormal reflexes, decreased position sense, decreased vibration sense, related to vitamin b-12 deficiency, complete blood count, anemia, large red blood cells, bone marrow examination, serum b-12, schilling test, identify poor absorption, cause of vitamin b-12 deficiency, serum folate, objective of treatment, the anemia, treatment depends upon the cause, anemias related to vitamin deficiencies, discussed separately, outcome is expected to be good, complications, the underlying cause, symptoms develop, adequate intake of vitamin b-12, folic acid is helpful.