doc_clotaire
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A 34 yo male who recently emigrated from Asia come to the clinic and complains of 2 months hystory of exertional shortness of breath and easy fatigability . He has been taking Isionazid and Rifampin for his tuberculosis which was diagnosed 4 months ago . Due to his religious belief , he completely turned into a vegeterian for the last year . Physical examination reveals pallor . Peripheral smear shows macrocytosis with hypersegmented polymorphonuclear neutrofil . His WBC and platelet count are within normal . This patient 's most likely problem is due to which of the following ?
a ) Vit B12 deficiency because of the vegeterian diet
b ) Vit B12 deficiency because of pernicious anemia
c ) Drug -induced B12 deficiency
d ) Myelodysplastic syndrome
e ) Chronic Myeloid Leukemia
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| DrVirgo
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I'll go with B because its the MCC
NOT A because 1 year is not long enough to cause a deficiency
NOT C because INH causes B6 deficiency, NOT B12 def.
NOT D or E because I don't like those choices. 
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| Ivonne
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tricky question I will go with (B) along with Dr Virgo
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| gr8doc
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b
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| neuroblastoma
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Yeah,, me too would go with B
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| papio
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agree with B too...
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| doc_clotaire
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The elevator to succes is broke ,you must take the stairs
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