Recall 1:

Q- A 35-year woman has fever and headache for 2 days. she has a scattered petechiae  over her body. Her platelets are 32. Peripheral smear done Peripheral smear done (there is image for  Schistocytes blood smear. Platelets count 32    150-400 x 109/L    MCV 102                  80-95 fl  Reticulocyte 4.9          0.2-1.2%      Lactate dehydrogenase 690    60-160 IU/L I        APTT 36          30-40 sec  prothrombin time 11     10-13 sec   What is Treatment  ? 

A.  Intravenous immunoglobulin and prednisone

B.  Transfuse platelets

C. Plasma exchange

A.  Argatroban

Right is : C. Plasma exchange

Recall2:

A 35-year woman has fever and headache for 2 days. she has a scattered petechiae  over her body. Her platelets are 32. Peripheral smear done Peripheral smear done  there is image for  Schistocytes blood smear.

Test Result               Normal 

Platelets count 32    150-400 x 109/L        MCV 102                  80-95 fl 

Reticulocyte 4.9          0.2-1.2%                 Lactate dehydrogenase 690    60-160 IU/L I

APTT 36          30-40 sec     prothrombin time 11     10-13 sec      APTT 33 30-40 sec 

What is Diagnosis ? 

A-. Immune thrombocytopenia (ITP)

B. Hemolytic uremic syndrome (HUS)

C. Thrombotic thrombocytopenic purpura (TTP)

D.  Disseminated Intravascular coagulopathy (DIC)   

Right is :-C. Thrombotic thrombocytopenic purpura (TTP)