Clinical CPD topic
Vitamin B12 deficiency: practise, reflect and record
Practise vitamin b12 deficiency through five clinical cases, review the explanations and build a professional learning record. Recognise B12 deficiency from megaloblastic blood findings with characteristic neurological signs.
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What you’ll work on
- Recognise B12 deficiency from megaloblastic blood findings with characteristic neurological signs.
- Select further investigations when autoimmune gastritis remains suspected despite negative intrinsic-factor antibodies.
- Distinguish uncomplicated dietary oral replacement, urgent neurological intramuscular loading and lifelong autoimmune-gastritis maintenance.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 42-year-old has Hb 105 g/L, MCV 108 fL, platelets 120 × 10⁹/L and neutropenia. Film shows macro-ovalocytes and hypersegmented neutrophils; examination finds impaired vibration sense and proprioception. Which deficiency best explains the combined findings?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.