Beneath
Gastrointestinal System
Step 1: View Clinicals
{"ops":[{"insert":"A 42 year old man presents with numbness and a tingling sensation in both lower limbs, associated with generalised weakness and fatigability for 3 months.\n\nHe also experienced occasional malodorous, bulky stools and lost 8 kg of weight during the preceding year. There was no history of alcohol abuse, rectal bleeding, or joint pains.\n\nHis full blood count shows a Hb of 8.7 g\/dL and MCV of 112 fL. A blood film shows a megaloblastic anemia with hypersegmented neutrophils.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-035_en.png"}},{"insert":"\n"}]}
Step 2: Order Relevant Investigations
1. Serum B12 + Folate
2. Stool full report
1. Serum B12 + Folate
2. Stool full report
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