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Surgery Stomach & Duodenum f98dac54

A patient of partial gastrectomy presents with neurological symptoms. Most probable diagnosis is:

A
Folic acid deficiency
B
Thiamine deficiency
C
Vitamin B-12 deficiency
D
Iron deficiency
High-Yield Explanation
Ans. (c) Vitmain B12 deficiencyRef: Shackelford 7th Edition, Pages 759-760* B12 deficiency manifests as megaloblastic anemia* B12 deficiency happens after subtotal gastrectomy due to lack of IF secretion* Oral supplementation is not useful* Inj. B12 must be given every 3 monthly.

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