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Old 09-21-2011
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Default Clotting screening tests, Q

40 YO Female presented to ER with, with mental confusion, wide spread petechial hemorrhages, she is pale, the condition developed 18 Hrs ago, with mild fever. Which of the following you expect to see in clotting tests?
1. 1. High PT, high PTT, high BT (bleeding time), low platelets count & normal RBC count.
2. 2. High PT, high PTT, normal BT, normal platelet count & normal RBC count.
3. 3. High PT, normal PTT, normal BT, normal platelets count & normal RBC count.
4. 4. Normal PT, normal PTT, high BT, low platelets count & low RBC count.
5. 5. Normal PT, normal PTT, high BT, low platelets count & normal RBC count.
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Old 09-21-2011
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I think ans is 4
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Old 09-21-2011
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Its 1 ... Wild guess...the question needs a little detail..
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Old 09-22-2011
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Quote:
Originally Posted by busterbee View Post
Its 1 ... Wild guess...the question needs a little detail..
Agree with 1.
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Old 09-22-2011
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i think, its > 4. Normal PT, normal PTT, high BT, low platelets count & low RBC count.
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Old 09-22-2011
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The correct answer is 4 (TTP).
1.DIC, 2. Common pathway deficiency, like liver disease. 3. Warfarin, 5. ITP.
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Old 09-22-2011
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very good question..thanx a lot..!!

but it would have been a bit easy to diagnose, if they had given a clue to uremia as well...!! (all other clues r there including anemia, thrombocytopenia, fever, n cns symptoms..)
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Old 09-22-2011
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TTP as you know can present in any combination of symptoms, but the most characteristic is the CNS, also renal finding could be as well prominent, but in general renal symptoms more prominent with Hemolytic Uremic Syndrome (HUS).
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Old 10-03-2016
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Thank youuu
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