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A 58-year-old with a history of chronic alcohol use disorder presents to the emergency department with fatigue, decreased appetite, and visual hallucinations. The patient reports abruptly stopping drinking a month ago. A peripheral smear shows significant pancytopenia with megaloblastic changes. A complete blood count shows an MCV of 118fL, a platelet count of 96,000 cells/µL, and a decreased white count of 2,800 cells/mm2. The folate level is standard. Which of the following statements is true regarding the manifestations of this condition? A. Neurological findings will indicate an intact position and vibratory sensation. B. Symptoms initially present as neurological then progress to hematologic and psychiatric. C. Macrocytic anemia is only found in correlation with chronic alcohol use disorder. D. Hallucinations may subside with treatment.
SCIENCE
HEALTH SCIENCE
NURSING

 
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