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Scenario 3: Intramuscular Ketorolac Injection for Acute Pain Management in Outpatient Clinic ICD-10: M54.5 (Low back pain) A patient presents to an office-based urgent care clinic with acute severe low back pain

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It also interacts with the F-actin cytoskeleton in fibroblasts, improving cell spreading and migration needed for wound closure
Other possible symptoms of a vitamin B12 deficiency include: Changes in the way you walk or move around (in your mobility) Disturbed vision Irritability Depression Mood changes Memory or judgement issues

Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)

Maintaining a diet that is rich in vitamin B12 can help to prevent pernicious anemia