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Kaplan Qbank USMLE



Author7 Posts
  #1

A 36-year-old man presented with a three day history of bloody diarrhea. He was apyrexial and mildly icteric.

Investigations revealed:
Hemoglobin 10.5 g/dL (13.0-18.0)
White cell count 19 x 109/L (4-11)
Platelets 70 x 109/L (150-400)
Serum urea 12.5 mmol/L (2.5-7.5)
Serum aspartate aminotransferase 90 IU/L (1-31)
Prothrombin time 12s (11.5-15.5)
Blood film fragmented red cells

What is the most likely cause of his illness?

1) Escherichia coli 0157 colitis

2) Ischaemic colitis

3) Leptospirosis

4) Salmonella enterocolitis

5) Ulcerative colitis



___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

1.

  #3

1

  #4

Dx??

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #5

HUS.

  #6

nodnod Lagta Hai Micro Per Zor Hai

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

The combination of bloody diarrhea, hemolytic anemia, thrombocytopenia but normal clotting, and renal impairment suggests hemolytic-uremic syndrome. This is associated with E coli 0157 toxin most commonly.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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