Rejected at 2:13 a.m. Feb, 25, 2024 ] by herstein.jacob
Author: ma7moudgamal66
Related Note: 1476583763287 1
Rationale for change

The previously written pahogenesis is not the primary one. Accoring to UW, pernicous anemia is more likely associated with cell mediated immunity.
Source: UWorld - Step 1 12068

Rejection reason

AMBOSS, FA23, and other sources highlight autoantibodies - would need some backup beyond this UW question to change

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#AK_Step1_v12::#SketchyPath::09_Blood_&_Coagulation::02_Normocytic_&_Macrocytic_Anemias::05_Megaloblastic_Anemia:_Folate_Deficiency_&_Vitamin_B12_Deficiency #AK_Step1_v12::#UWorld::Step::124 #PANCE::EOR::IM #PANCE::HEME::cytopenias #AK_Step1_v12::^Systems::Biochem::vitamins #AK_Step2_v12::#SketchyPsych::14_Medical_Disorders_With_Psychiatric_Symptoms::01_Medical_Causes_of_Psychiatric_Symptoms::01_Medical_Causes_with_Psychiatric_Symptoms_Overview #AK_Step1_v12::#AMBOSS::31aSgj #AK_Step2_v12::#Resources_by_rotation::FM::casefiles::geriatric_anemia #AK_Step1_v12::#OME::Clinical::04_Organ_Systems::05_Hematology_Oncology::02_Anemia::06_Macrocytic_Anemia #AK_Step2_v12::#UWorld::Step::16898 #AK_Other::#AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Biochemistry::Vitamins #AK_Step1_v12::#DirtyMedicine::04_Pathology::02_Anemia_(Types,_Findings,_Lab_Values) #AK_Step1_v12::#AMBOSS::OxaI95 #AK_Step1_v12::#Pixorize::01_Biochemistry::01_Vitamins::12_Vitamins_B9_&_B12_Deficiencies #AK_Step2_v12::#B&B::07_Hematology_and_Oncology::01_Red_Cells::04_Macrocytic_Anemia #AK_Step2_v12::#UWorld::COMLEX::103639 #AK_Step1_v12::#B&B::10_GI::03_Clinical_Gastroenterology::08_Gastric_Disorders::Extra #AK_Step2_v12::#UWorld::COMLEX::101144 #AK_Step1_v12::#AMBOSS::72a4QP #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step3_v12::#UWorld::6157 #AK_Step2_v12::Original_decks::Dorian::im::ome::heme/onc::macrocytic_anemia #AK_Step1_v12::#NBME::Free120::2024 #AK_Step2_v12::#AMBOSS::cL0a9g #AK_Step1_v12::#FirstAid::01_Biochem::05_Nutrition::13_Vitamin_B12::02_Deficiency #AK_Step2_v12::#UWorld::COMLEX::28874 #AK_Step1_v12::#NinjaNerd::09_Hematology::02_Pathology::21_Macrocytic_Anemia #AK_Step2_v12::#SketchyIM::10_Gastroenterology::Retired_Lesson::01_Esophageal_&_Gastric_Disorders::05_Gastropathy_Gastritis_Gastric_Ulcer_[OLD_VERSION] #AK_Step1_v12::#AMBOSS::SRaym4 #AK_Step2_v12::Original_decks::Dorian::fam::casefiles::geriatric_anemia #AK_Step2_v12::#UWorld::Step::3067 #AK_Step1_v12::#OME::04_Organ_Systems::05_Hematology_Oncology::02_Anemia::06_Macrocytic_Anemia #AK_Step2_v12::#B&B::06_GI::01_Esophagus_and_Stomach::03_Gastric_Disorders::Extra #AK_Step1_v12::#B&B::04_Biochem::04_Vitamins::02_B12_and_Folate #AK_Step1_v12::#Bootcamp::Gastroenterology::04_Stomach::11_Pernicious_Anemia #AK_Step1_v12::#NBME::32 #AK_Step1_v12::#FirstAid::10_Hematology_and_Oncology::04_Pathology::08_Macrocytic_anemias::*Megaloblastic_Macrocytic_Anemia::B12_Cobalamin_Deficiency #AK_Step1_v12::#UWorld::Step::12068 #AK_Other::Only_Step_1&2_Overlap #AK_Step1_v12::#Physeo::05_Biochem::05_Metabolism::36_Cobalamin_(B12)_-_Nutrition #AK_Step2_v12::#UWorld::Step::4356 #AK_Step2_v12::#Resources_by_rotation::FM::ome::heme/onc::macrocytic_anemia #AK_Step1_v12::#FirstAid::01_Biochem::05_Nutrition::13_Vitamin_B12 #AK_Step1_v12::#SketchyPhysiology::08_GI_Physiology::03_Gastrointestinal_Secretions::01_Gastric_Acid_Secretion_&_Regulation #AK_Step2_v12::!Shelf::FM::no_dupes #AK_Step1_v12::#Physeo::11_Pathology::10_HemeOnc_Pathology::10_Macrocytic_Anemia #AK_Step2_v12::Original_decks::Dorian::fam::ome::heme/onc::macrocytic_anemia #AK_Step1_v12::#UWorld::COMLEX::25810 #AK_Step1_v12::#UWorld::#UWSA1 #AK_Step1_v12::#Bootcamp::Biochemistry::12_Vitamins::01_Introduction_To_Vitamins #AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::02_Anemia::03_Macrocytic_Anemia_DDx #AK_Step1_v12::#SketchyPhysiology::08_GI_Physiology::03_Gastrointestinal_Secretions::02_Gastric_Secretions #AK_Step2_v12::#Resources_by_rotation::IM::ome::heme/onc::macrocytic_anemia #AK_Step1_v12::#Low/HighYield::1-HighYield #AK_Step2_v12::#AMBOSS::OxaI95 #AK_Step2_v12::#OME::01_Medicine::05_Hematology_Oncology::02_Macrocytic_Anemia #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step1_v12::#Bootcamp::Hematology_and_Oncology::05_Macrocytic_Anemia::02_Cobalamin_(Vitamin_B12)_Deficiency #AK_Step1_v12::#UWorld::Step::6470 #AK_Step1_v12::#UWorld::COMLEX::23237