Page 1 of 1: easy bruising

bebica · Credits: 26025 My Scrapbook

Theresa Gallagher, arrives at her family physician’s office complaining of easy bruising over the past month. She is not as concerned about her “rash-like” skin bruising as she is about her gums bleeding with brushing her teeth over the past three days. Theresa is 25 years old and otherwise healthy. She is not taking any medications, and drinks only socially. She has never been hospitalized except for the birth of her daughter three years ago after an uneventful pregnancy. Family history is completely negative. She denies any large bruises, denies deep muscle or joint pain, and has not noticed any blood in her urine.

26. What investigations would you order?

a. CBC and differential
b. Serum electrolytes & creatinine
c. fibrin split products
d. PT & PTT (includes INR)
e. AST, ALT, alkaline phosphatase

27. The only abnormality detected is a platelet count of 70,000/mm3. What is/are the possible cause(s)?

a. Renal failure
b. Folate/B12 deficiency
c. Lymphoma/leukemia
d. Factor VIII deficiency
e. SLE

DRAZKHAN · Credits: 1543 My Scrapbook

26. a & d
27. SLE

vioxx · Credits: 1620 My Scrapbook

d. PT & PTT (includes INR)
d. Factor VIII deficiency

bebica · Credits: 26025 My Scrapbook

26. a, d
27. c, e

sozan · Credits: 733 My Scrapbook

I agree With Dr bebica

ieva · Credits: 3579 My Scrapbook

26. What investigations would you order?

****a. CBC and differential
b. Serum electrolytes & creatinine
c. fibrin split products
****d. PT & PTT (includes INR)
e. AST, ALT, alkaline phosphatase

27. The only abnormality detected is a platelet count of 70,000/mm3. What is/are the possible cause(s)?

a. Renal failure
b. Folate/B12 deficiency
c. Lymphoma/leukemia
d. Factor VIII deficiency
e. SLE***

If there would be choice of ITP - i would choose that without thinking

mikejonathan20055 · Credits: 3355 My Scrapbook

Theresa Gallagher, arrives at her family physician’s office complaining of easy bruising over the past month. She is not as concerned about her “rash-like” skin bruising as she is about her gums bleeding with brushing her teeth over the past three days. Theresa is 25 years old and otherwise healthy. She is not taking any medications, and drinks only socially. She has never been hospitalized except for the birth of her daughter three years ago after an uneventful pregnancy. Family history is completely negative. She denies any large bruises, denies deep muscle or joint pain, and has not noticed any blood in her urine.

26. What investigations would you order?

a. CBC and differential -------------------------
b. Serum electrolytes & creatinine
c. fibrin split products
d. PT & PTT (includes INR)-----------------
e. AST, ALT, alkaline phosphatase

27. The only abnormality detected is a platelet count of 70,000/mm3. What is/are the possible cause(s)?

a. Renal failure ----------------
b. Folate/B12 deficiency
c. Lymphoma/leukemia----------------------
d. Factor VIII deficiency
e. SLE--------------------

OBAMA · Credits: 1833 My Scrapbook

26. a,d
27.d

OBAMA · Credits: 1833 My Scrapbook

PLZ CAN ANYBODY EXPLAIN WHY C AND E AND WHY NOT D?

doc604 · Credits: 435 My Scrapbook

26
a,b,d
27b
platelet count of 70,000/mm3 may be in B12/folate defficiency

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