1. What is the clinical presentation for a patient with macrocytic anemia?
1. Patients with macrocytic anemia typically complained of stomatitis, glossitis, nausea, anorexia, diarrhea, peripheral neuropathies, and malaise.
The clinician should note pale mucosa, dry and cracked oropharynx thick and smooth tongue, tachycardia, systolic ejection murmur, peripheral neuropathy, increased or decreased deep tendon reflexes, positive Rhomberg's were Babinski sign.