James is 75 years of age.Recently,he developed muscle weakness,memory loss,and numbness and tingling in his hands.His tongue is smooth and shiny.Based on this information,James probably has

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The symptoms described in the scenario (muscle weakness, memory loss, numbness and tingling in hands, smooth and shiny tongue) suggest pernicious anemia, which is a condition caused by a vitamin B12 deficiency. It is commonly seen in elderly individuals and can lead to neurological symptoms due to nerve damage. Osteomalacia is a condition caused by a vitamin D deficiency, arribiflavinosis is caused by a vitamin B2 deficiency, and spina bifida is a congenital condition that affects the development of the spinal cord. None of these conditions fully match the symptoms described in the scenario.

James Is 75 Years of Age