Test Question: Beefy Red Tongue

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What Is The Big Deal About B12

TODAY’S TEST QUESTION:


CORRECT ANSWER:
B) Pernicious anemia


MORE INFO:

  • A beefy red smooth appearing tongue is called glossitis and sometimes seen with pernicious anemia.
  • The smooth appearance is due to a loss on the papillae of the tongue.
  • Pain of the tongue is sometimes also associated with glossitis (generally anterior third of the tongue)(1).
  • Individuals who have pernicious anemia have difficulties absorbing vitamin B12 due to lack on intrinsic factor (which is needed for b12 absorption).
  • B12 helps with RBC production.

 

OTHER ANSWERS:

Typical Signs & Symptoms of the other diseases listed:

  • COPD:

  • Barrell chest, clubbing of fingers, wheezing, shortness of air, increased sputum, chronic cough

  • Congestive Heart Failure:

  • Extremity swelling, sudden weight gain, jugular vein distension, S3 heart sound, crackles in lungs

  • Turner syndrome:

  • a chromosomal abnormality that causes clinical features such as short stature, webbed neck, primary amenorrhea, poor growth, peripheral lymphedema

REFERENCE:

  • (1) Pernicious Anemia Clinical Presentation -edmedicine 11/2018
  • (2) Epocrates: Turner Syndrome, COPD, CHF
  • (3) Tongue picture by Martin Kronawitter under creative commons
  • https://commons.m.wikimedia.org/wiki/File:Scharlach.JP
DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.

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