Abdominal Pain + Anemia + Diarrhea + Thrombocytopenia + Reanl Insufficiency - USMLE Forums
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Old 07-09-2011
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Kids Abdominal Pain + Anemia + Diarrhea + Thrombocytopenia + Reanl Insufficiency

A 10-yrs-old boy is brought the the ER due to abdominal pain and bloody diarrhea. The mother says that he was fine few days ago and then suddenly became ill. Physical exam shows a pale and jaundiced child. There is diffuse abdominal tenderness and 2+ pedal edema. Labs show anemia, thrombocytopenia and renal insufficiency. What is the cause of patient symptoms
1) vibrio chlera
2) e coli
3) lactose intolerance
4) salmonella poisoning
5) campylobactor jejuni
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  #2  
Old 07-09-2011
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I m with e coli ...
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Old 07-09-2011
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ecoli......
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Old 07-09-2011
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i think it s hemolytic uremic syndrome
characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure
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Old 07-09-2011
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Hemolytic Uremic Syndrome --> E.Coli O157:H7
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Old 07-09-2011
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Default it is ecoli

this pt has heamolytic uremic syndrome which is caused by the toxin released by ecoli.the general treatment is supportive and involves plasmapheresis ,dialysis if necessary and steroids
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Old 07-09-2011
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Thanks for this question
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Infectious-Diseases, Pediatrics-, Step-2-Questions

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