Instructions
You are a medical student on placement in general practice. Annabel Ferris, 58, has been tired with tingling feet. She has type 2 diabetes on metformin. Her blood results are printed for you.
Take a focused history from Ms Ferris
Interpret the results, explain them to Ms Ferris and agree a plan
- You do not need to examine the patient
Blood tests
| Item | Value | Reference range |
|---|---|---|
| Haemoglobin | 105 g/L | 115 to 165 |
| MCV | 112 fL | 80 to 100 |
| Vitamin B12 | 110 pmol/L | above 150 |
| Serum folate | Normal | - |
| Intrinsic factor antibodies | Pending | - |