Author Topic: Case (24)  (Read 5265 times)

0 Members and 1 Guest are viewing this topic.

Offline Muna1

  • Full Member
  • ***
  • Posts: 59
  • Points: +53/-0
  • Gender: Female
Case (24)
« on: December 25, 2007, 08:12:52 PM »
A 64-year-old female is brought to the Emergency Department by her family, who are concerned about her increasing confusion over the past 2 days. On examination she is found to be pyrexial at 38؛C. Blood tests reveal:
      Hb 9.6 g/dl
      Platelet s65 * 109/l
      WCC 11.1 * 109/l
      Urea 23.1 mmol/l
      Creatinine 366 µmol/l

What is the most likely diagnosis?




Offline Kassim

  • Jr. Member
  • **
  • Posts: 41
  • Points: +112/-0
  • Gender: Male
Re: Case (24)
« Reply #1 on: December 25, 2007, 10:24:00 PM »
It  looks like, Thrombotic thrombocytopenic purpura (TTP)
Classically, the following five symptoms are indicative of this elusive disease: Fluctuating neurological symptoms, such as bizarre behavior, altered mental status, (confusion over the past 2 days)
Stroke or headaches (65%)
Kidney failure (46%); Urea 23.1 mmol/l, Creatinine 366 µmol/l
Fever (33%); pyrexial at 38؛C
Thrombocytopenia, Platelet s65 * 109/l
Microangiopathic hemolytic anaemia, Hb 9.6 g/dl
Treatment
Intravenous (IV) plasma exchange, also called plasmapheresis, is the present standard of treatment for TTP. During the plasma exchange, the inhibitory antibodies are removed and the plasma is replenished with the deficient protease.
hope this is the correct unswer
Kassim
    
???????? ??????????? ????????? ?? ?????? ??????? ??????

Offline Muna1

  • Full Member
  • ***
  • Posts: 59
  • Points: +53/-0
  • Gender: Female
Re: Case (24)
« Reply #2 on: December 26, 2007, 10:07:27 PM »
well done kasem.it is correct

Offline Admin

  • Administrator
  • *****
  • Posts: 1489
  • Points: +60/-0
  • Gender: Male
  • Towards a better peaceful and healthy life!
    • Somali Medical Association
Re: Case (24)
« Reply #3 on: December 27, 2007, 12:29:39 AM »
Congrats, 15 points of this case goes to Kassim
"you never cure a patient, you treat pain often but you always comfort the patient."
www.somalidoc.com


 

New Case with "Foreign Accent syndrome"

Started by AdminBoard Health News and Events

Replies: 4
Views: 34517
Last post May 07, 2011, 09:55:27 PM
by drishak
Lifestyle choices may help treat mild case of obstructive sleep apnea

Started by Ahmed_07Board Topics in Healthcare

Replies: 0
Views: 37155
Last post December 29, 2013, 03:50:19 PM
by Ahmed_07
Malaria Case Management Coordinator - Horn of Africa (MENTOR)

Started by AdminBoard Medical Jobs & Trainings

Replies: 0
Views: 27265
Last post August 09, 2011, 09:01:01 PM
by Admin
Patients may mislead you to appraoch the diagnosis! True Case

Started by SOYDABoard Humanitarian Aid Organizations

Replies: 4
Views: 33539
Last post April 10, 2008, 02:20:54 PM
by Waxbaro!
Vacancy: Bi-Lingual Case Manager (Somali-English)

Started by AdminBoard Medical Jobs & Trainings

Replies: 0
Views: 28076
Last post October 31, 2010, 08:22:25 PM
by Admin