Case 10-2011 — A Woman with Fever, Confusion, Liver Failure, Anemia, and Thrombocytopenia  

Oleh:

Tierney, Lawrence M. ; Thabet, Ashraf ; Nishino, Ha

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 13 (Mar. 2011), page 1259-1270.
Topik: Fever; Confusion; Liver Failure; Anemia; Thrombocytopenia.

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Presentation of Case Dr. Andrea L. Russo (Medicine): A 60-year-old woman was admitted to this hospital because of fever, confusion, liver failure, anemia, and thrombocytopenia. The patient had been in her usual state of health, with a history of hepatitis C virus infection and cirrhosis, until 2 to 3 weeks before admission, when low-grade fevers developed and relatives noted she was acting strangely, with slurred speech and urinary incontinence. Approximately 3 days before admission, increasing confusion and diarrhea developed. The day before admission, emergency medical services were called, and she was taken to another hospital. On examination, she was restless and oriented to person and place; her speech was slurred and her verbal responses to questions were confused. The temperature was 38.2°C, the blood pressure 127/63 mm Hg, the pulse 125 beats per minute, the respiratory rate 25 breaths per minute, and the oxygen saturation 97% while she was breathing ambient air. The sclera were icteric; the abdomen was tender without rigidity, and bowel sounds were present; there were ecchymoses on her abdomen and legs, with trace edema of the legs. Asterixis was present; the remainder of the examination was reportedly normal.

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