Some of the differentials so far
- Acute leukaemia
- WAS (Wiskott–Aldrich syndrome)
- Autoimmune condition e.g.lupus
- Viral e.g. hep B/C, HIV
Luckily local measures have stopped the bleeding. His obs are as follows BP: 110/80, pulse 105bpm, resp 20rpm, SpO2 98% room air, temp 37.9oC. Bloods are as follow:
- PT 11 s
- APTT 35
- Fib 5.9
- Na 139, K 4.2, creat 109, urea 9.9
- albumin 40, ALP 90, ALT 24, Bili 39
- Ca 2.34 (adj)
- FBC – differential shows neutrophilia
- Film – awaiting comment from Haem SpR
- Does this change your differential diagnosis?
- What is your management now?
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