Anemia and an Unsteady Gait

Explore the case of a 76-year-old woman with pernicious Anemia presenting with neurological signs, including sensory loss and gait instability. What is the key sign?

Romberg's sign


Which one of the following signs would you expect to find in this 76-year-old woman with anemia?

What is the most likely diagnosis?

Bulbar palsy
Flaccid paralysis of the upper extremities
Lower-extremity spasticity
Lower-extremity thermoanesthesia
Romberg’s sign

Dorsal column, Pernicious Anemia, Romberg’s sign, Subacute combined degeneration, Vitamin B12 deficiency

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