Saturday, July 16, 2005

Interns At work


The New Interns Work Arduously over a new admission. The details of this case to follow.

posted by Sam the Blogger @ 7/16/2005 11:15:00 PM   5 comments

5 Comments:

At 11:22 PM, Blogger Sam the Blogger said...

Teenager with complaints of only nausea/vomiting and dysuria for three days. Found to have anemia ~30, thrombocytopenia ~50, elevated transaminases ~200's, elevated bun and creatinine ~6.5 with granular casts and large proteinuria, elevated bilirubin ~3.2 and splenomegaly.
History revealed 3-4 tablets of ibuprofen at a time, recent use of hydrocodone for dental procedure, recent visit to the lake, occaisional etoh use, and travel to the bahama's six weeks prior. No Rash. No pain. No sick contacts. No fever.

 
At 5:49 AM, Blogger joe said...

hemolytic uremic syndrome

 
At 1:58 PM, Blogger joe said...

Look for schistocytes and helmet cell on the peripheral smear.

 
At 11:43 PM, Blogger Clay said...

HUS huh? Any follow up on this patient?

 
At 6:28 AM, Blogger joe said...

Was transferred to LR supposed to get dialysis and plasmapheresis Monday.

A question: is HUS a the same disease process as TTP(thrombotic thromocytopenic purpura)? There seems to be some disagreement in my limited reading. Anyway they are plasmapheresing him which would indicate they think it is, but I didn't see any reccomendations to do that for HUS.

 

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