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A 55-year-old male consulted his physician because of weakne…

Posted byAnonymous December 6, 2024

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A 55-yeаr-оld mаle cоnsulted his physiciаn because оf weakness, lightheadedness, vertigo, and angina. The patient also complained of sores on his tongue. The physical examination revealed jaundice. The pulse rate was increased, and the spleen and liver were slightly enlarged. The tongue appeared smooth and bright red in color. Family history revealed no clues. Neurological exam revealed quickening of reflex responses. Patient history indicated a total gastrectomy five years earlier for stomach cancer and intermittent heart problems that had not required surgery. The physician ordered the following tests: TEST                    RESULTSWBC                    3.1 × 109/LRBC                      2.45 × 1012/LHGB                     10.5 gm/dLHCT                     29.0%MCV                    118 fl MCH                    42.8 pg MCHC                 36.2 gm/dLRDW                    15.7PLT                       83 × 109/L Differential: Segs     49%Bands   6%Lymphs 30%Mono   8%Eos        5%Basos    2% Peripheral blood: macro-ovalocytes What is (are) the most appropriate reflex test(s)?

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