A mother brings her 3-year-old daughter to the emergency department because she is having trouble urinating. The child is not feverish. She has otherwise been healthy except for a bout of diarrhea about 10 days ago. Laboratory test results are as follows:
TEST RESULT
RBC 4.30 x 1012/L (moderate schistocytes present on peripheral blood smear)
WBC 5.00 x 109/L
PLT 28 x 109/L
HGB 13.0 g/dL
HCT 39
MCV 89 fl
MCH 28 pg
MCHC 33
BUN 85 mg/dL (RR: 8 - 24 mg/dL)
CREAT 3.3 mg/dL (RR: 0.2 - 1.3 mg/dL)
Based on the history and the laboratory results, what is the most likely diagnosis?
a. DIC
b. Bartonella sp. infection
c. HUS
d. Previous Clostridium sp. infection
Question 2
A child presents to the hospital emergency department with clinical findings of bloody diarrhea and fever. Laboratory findings reveal an elevated neutrophil count, increased C-reactive protein, thrombocytopenia, and a decreased haptoglobin.
With what diagnosis are these findings associated ?
a. TTP
b. HUS
c. DIC
d. HELLP syndrome
Mother Centipede
The medical assistant handles an emergency.
Drugs for Hypertensive Emergency
economic question (having trouble)
The Serial Numbers for Each Day of the Year