Interns At work
The New Interns Work Arduously over a new admission. The details of this case to follow.
Cacoethes Cognitum
The irrational yet irrestible urge to know or make known. The CC is a "club" founded by a small group of medical professionals, who have made a pastime of turning medical cases and discussions into medically irrelevant history lessons, philosophical rants, and displays of one-upsmanship. The official premise, since the "club" was named, has been to exchange and discuss various books, movies, and ideas. Sometimes we eat sushi.
Saturday, July 16, 2005
The New Interns Work Arduously over a new admission. The details of this case to follow.
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5 Comments:
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.
hemolytic uremic syndrome
Look for schistocytes and helmet cell on the peripheral smear.
HUS huh? Any follow up on this patient?
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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