Clin App

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Clinical Application Name Institution Abstract A review of the symptoms indicates that the patient is experiencing vitamin B12 deficiency that is responsible for her anemic condition. In essence, she had inadequate amounts of gastric intrinsic factor, which makes it difficult for her to absorb sufficient amounts of vitamin B12. In addition, she had developed parietal cells antibodies that also hinder the vitamin’s absorption. This set of circumstances explain her vitamin deficiency. Of interest is the fact that the vitamin plays an important part in red blood cells production. With low amounts of red blood cells in the blood, the patients is forced to increase the heart rate and breathing rate as a way of compensating for the low oxygen amounts. The conditions explain the patient’s diagnosis as having suffering from pernicious anemia. The diagnosis can be borne by a blood smear whose results would indicate red blood cells poikilocytosis and anisocytosis, and neutrophils hypersegmentation. Still, additional tests in the form of determining indirect bilirubin and lactate dehydrogenase levels, and Schilling test would be required to confirm the diagnosis before treatment using vitamin B12. Clinical Application Part A. Based on the presented symptoms and the woman’s age age, it can be accepted that the woman is suffering from pernicious anemia brought about by vitamin B12 (cobalamin) deficiency. Firstly regarding the progressive shortness of breath, weakness and fatigue, she has inadequate gastric intrinsic factor that is required for vitamin B12 absorption. This, in turn, reduces red blood cells productions to ensure that inadequate amounts of oxygen

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