Unit Objectives - 2

Unit objectives:

4. Given results of vitamin B12 folic acid studies, as well as Schilling tests and gastric acid analysis, determine the likely cause of a deficiency.

5. Explain the principle of the Schilling test, including the rationale for the use of a flushing dose of vitamin B12.

6. Recognize the results of bilirubin and lactate dehydrogenase tests that are consistent with megaloblastic anemia and explain why these results are elevated in this condition.

7. Discuss the relationships among macrocytic, megaloblastic, and pernicious anemias.