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  #1  
Old 07-27-2011
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Default Hematology

A 20 years old black woman with 38 week´s gestation (is her first time) come to the hospital because of: edema of face and lower limbs, jaundice, paleness, ecchymosis in her arms Her blood pressureis 160/100, 2 g proteinuria in 24 hours, creatinine 4 mg%,
Hemogram: Hb 5g , reticulocytes: 12%, , platelets: 13000. And in there are the presence of schistocytes on the peripheral blood smear.
AST: 290 IU, SGPT: 390UI, bilirubin: 10 mg%: 5 mg% and indirect Coombs test is negative
What is your diagnosis?
A. Paroxysmal Nocturnal Hemoglobinuria
B. hemolytic anemia: S hemoglobin
C. Anemia because of renal failure
D. Autoimmune hemolytic anemia
E. HELLP syndrome
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  #2  
Old 07-27-2011
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Quote:
Originally Posted by medkary View Post
A 20 years old black woman with 38 week´s gestation (is her first time) come to the hospital because of: edema of face and lower limbs, jaundice, paleness, ecchymosis in her arms Her blood pressureis 160/100, 2 g proteinuria in 24 hours, creatinine 4 mg%,
Hemogram: Hb 5g , reticulocytes: 12%, , platelets: 13000. And in there are the presence of schistocytes on the peripheral blood smear.
AST: 290 IU, SGPT: 390UI, bilirubin: 10 mg%: 5 mg% and indirect Coombs test is negative
What is your diagnosis?
A. Paroxysmal Nocturnal Hemoglobinuria
B. hemolytic anemia: S hemoglobin
C. Anemia because of renal failure
D. Autoimmune hemolytic anemia
E. HELLP syndrome
E. HELLP syndrome
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  #3  
Old 07-27-2011
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E. HELLP syndrome
__________________
Learning is like to row your boat upstream, if you stop learning, you will be pushed back by the current.
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  #4  
Old 07-27-2011
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Its E HELLP Syndrome
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  #5  
Old 07-27-2011
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it's too easy that make me suspicious if there is a point i am missing!!
HELLP synd
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  #6  
Old 07-28-2011
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Quote:
Originally Posted by medkary View Post
A 20 years old black woman with 38 week´s gestation (is her first time) come to the hospital because of: edema of face and lower limbs, jaundice, paleness, ecchymosis in her arms Her blood pressureis 160/100, 2 g proteinuria in 24 hours, creatinine 4 mg%,
Hemogram: Hb 5g , reticulocytes: 12%, , platelets: 13000. And in there are the presence of schistocytes on the peripheral blood smear.
AST: 290 IU, SGPT: 390UI, bilirubin: 10 mg%: 5 mg% and indirect Coombs test is negative
What is your diagnosis?
A. Paroxysmal Nocturnal Hemoglobinuria
B. hemolytic anemia: S hemoglobin
C. Anemia because of renal failure
D. Autoimmune hemolytic anemia
E. HELLP syndrome
the ans is E
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  #7  
Old 07-28-2011
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eeeeeeeeeeeeeeeeee
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  #8  
Old 07-28-2011
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E. HELLP syndrome
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  #9  
Old 07-28-2011
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Quote:
Originally Posted by bebix View Post
E. HELLP syndrome
why not D plz bebix tell me AIHA has schistocytes in peripheral blood i think so but am messed up in choosing d or e...
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  #10  
Old 07-28-2011
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Quote:
Originally Posted by yasirsattar75 View Post
why not D plz bebix tell me AIHA has schistocytes in peripheral blood i think so but am messed up in choosing d or e...
Becoz along with Hemolytic anemia, she has other feature s/o HELLP syndrome. H- hemolytic Anemia, EL - elevated liver enzymes and LP -low platelet count, associated with Precclampsia (edema of face and lower limbs, jaundice, paleness, ecchymosis in her arms Her blood pressure is 160/100, 2 g proteinuria in 24 hours, creatinine 4 mg%) .
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  #11  
Old 07-28-2011
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Its HELLP syndrome... Crearly state on the question... Low plaletes, elevated Liver Enzyme and Hemolitic Anemia... =)

Answer should be E
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  #12  
Old 07-28-2011
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E) HELLP syndrome
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