Year Male Presents Assignment Help: How to Answer This Question

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Original Question

A 62 year-old male presents to the office as a new patient. He has not seen a health care provider in 10 years. The only complaint is progressive fatigue and generalized weakness. He denies any known past medical problems and takes no medications or OTC products. On exam, he has a pale appearance. HEENT exam is remarkable for a thick, beefy and quite erythematous tongue. There is a loss of proprioceptive sense on neurologic testing and the remainder of the exam in unremarkable. Initial labs reveal the following- CBC with WBC count 6.5/ cubic mm with normal differential, hemoglobin 7.2 g/dL with elevated MCV 102 (normal 80-86). Electrolytes and LFTs are normal. Further labs are ordered due to the low Hg and reveal a low vitamin B12 level, a low reticulocyte count and elevated iron and ferritin levels. 1- What is the relevant objective and subjective assessment data from the case study? 2- What does this data indicate? What conclusions can you make? What is your preliminary diagnosis(es)? 3- What is the underlying pathophysiology that produce the clinical manifestations in this case study? 4- Based on the pathophysiology, what clinical course and complications could you anticipate? 5- What patient education and follow up is required for the case study patient? 6- References

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