For each case below, select the most appropriate vitamin deficiency:

 

Options:

Vitamin A

Vitamin B1

Vitamin B2

Vitamin B12

Vitamin C

Vitamin D

Vitamin D

Vitamin E

Vitamin K

Folate

Iron

 

1. A 55 year old man who is a chronic alcoholic, presents with increasing memory loss and peripheral neuropathy. The medical student notices that he seems to be confabulating.

 

2. A 42 year old man presents with melaena and haematuria. He has a history of chronic pancreatitis and steatorrhoea. The doctor notices that he has multiple bruises on his arms and legs.

 

3. A 40 year old woman comes to the GP complaining of swollen, bleeding gums. She also says that she accidentally cut herself recently, and the wound doesn't seem to be healing. The GP examines her, and notices a papular skin rash.

4. An 8 year old boy is brought to A&E after a fall. His leg is broken, which the on-call F2 notices is for the third time in 12 months. On examination, the boy has anterior protrusion of the sternum and bowing of the legs. His parents are vegans.

 

5. A 30 year old woman went to her GP after noticing increasing shortness of breath on exercise. On further investigation, she was found to have megaloblastic anaemia.

 

 

Answers:

1. Vitamin B1

2. Vitamin K

3. Vitamin C

4. Vitamin D

5. Vitamin B12