Today, we have a 35 year old African American female with a past medical history of hypertension, who presents to the emergency department.
He has a two week history of a viral upper respiratory symptoms, including a low grade fever, cough, nasal congestion, rhinorrhea, sore throat, decreased oral intake - followed by a persistent nose bleed.
The nose bleed began over the last couple days and isn't stopping despite persistent pressure. And over the last 24 hours, she had a change in her mental status per her family.
Her exam was unremarkable.
Her vitals: 100.2 F, HR 90s, BP 145/82, and 98% O2 RA.
Initial labs revealed:
What's your diagnosis?
Well, at this point, we are thinking Thrombotic thrombocytopenic purpura (TTP).
Today, we are going to break this disease down for you.
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