Ivonne
Find a way or make one
Topics: 58
Posts: 1,658
|
A 21 yo M with no significant PMH presents to your office with blood in his urine and mucosal bleeding while washing his teeth. The patient c/o intermittent "ringing in his ears". He denies any drug or alcohol abuse. He has no family history of bleeding disorders. Petechia are noted in the oral cavitie, as is dried blood in his nostrils.
Labs: hematocrit: 32%, WBC: 8000 with 60% neutrophils, platelet count 13 000, PT: 13 seconds, PTT: 28 seconds, LDH: 1200U/L, elevated indirect bilirubin. Coombs' test is positive, abdominal examination is unremarkable and spherocytes in peripheral smear. What is the most likely diagnosis:
a. Alports' syndrome
b. Bernard-Soulier syndrome
c. Feltys' syndrome
d. Thrombotic thrombocytopenic purpura
e. Evans' syndrome
f. Idiophatic thrombocytopenic purpura
Explain your answer pz
___________________
"Believe you can and you're half way there."
|
| gingko
Forum Senior
Topics: 13
Posts: 226
|
A...tinnitus makes me think of it..also being a collagen disorder it causes mucosal bleeding??
___________________
Old McDonald had an ERAS inbox..with a reject here and a reject there..here a reject, there a reject,everywhere a reject, reject.
|
| neuroblastoma
Forum Guru
Topics: 110
Posts: 1,097
|
E. EVANS SYNDROME---Autoantibodies are directed against specific antigens specific to red cells, platelets, or neutrophils, but they do not cross react
Evans syndrome is a diagnosis of exclusion
Signs of thrombocytopenia include purpura, petechiae, and ecchymoses.
Signs of anemia include pallor, fatigue, and light-headedness.
Jaundice may indicate hemolysis
|
| neurom
Forum Senior
Topics: 4
Posts: 127
|
D? in Evans syndrome neutropenia should be present
___________________
"Nature magically suits a man to his fortunes, by making them the fruit of his character".
|
| anastamosis
Forum Senior
Topics: 35
Posts: 168
|
EVAN's Syndrome = ITP + Autoimmune Hemolytic Anemia
___________________
THE HIGHER YOU AIM, THE HIGHER YOU REACH !! My contacts are as follows ==> yahoo id --> anastamosis_e2e;gmail id --> anastamosis;Skype id --> anastamosis
|
| DRamarnath
Forum Junior
Topics: 12
Posts: 42
|
wats the answer ivonne
___________________
fucking world sucks
|
| anuba
Forum Elite
Topics: 6
Posts: 448
|
Yeah Evan's is ITP + AIH
but I think I ll go w/ A, Alports bec of the pt's age, blood in urine & hearing prob.
|
| Ivonne
Find a way or make one
Topics: 58
Posts: 1,658
|
The answer given is Evans' syndrome well explained in previous posts
___________________
"Believe you can and you're half way there."
|
| drduck
Forum Guru
Topics: 82
Posts: 523
|
what was the reason for intermittent ringing in the ears??
|
|
| |
| | | | | | | | | |
Similar forum topics