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Reeja Syamalan,36,Female,Date - 15/05/2009

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Provisional Diagnosis - ? 10.5? 9.75 platelets-15/5 50.0, 17/5 71.2, 19/5 126.0,21/5/ 455, ESR 8 ANA-ve, CK 383, D. dimmer? 2.9m, LDH 1235, lipase? 256 (N. 21-67), Amylase 99.8, Ca.7.6, P. 1.6, Bil.T.2.3/D-1.2, SGOT 867, SGPT 772, Viral markers-HbsAg, anti HCV, IgM HEV & IgM HAV all –ve, Blood cultures No growth, MRI stroke protocol N. study (19/5/09) Coom,s-ve PT with INR & APTT N
Final Diagnosis - 1.IBD/ 2. TTP (Thrombotic Thrombocytopenic Purpura) 3. acute pancreatitis 4. viral hepatitis (? Varicellazoster virus) Dramatic improvement on pulse dose of methyl Prednisolone (1000mg od x 3), supportive treatment-pancreatic enzymes/PPIs/Ijn.Acyclovir with antibiotics & oral steroids after pulse dose.
History and Findings - Ref. from GE Med.DOA 15/5/09, DOD 25/5/09. k/c/om IBD on steroids., admitted with chicken-pox, presented with abd.pain/slurring of speech/Ataxia/microscopic hematuria, Hb.11.7
Investigation -
Treatment -
Follow Up -
Last modified on Monday, 02 January 2012 09:44
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