EM@3AM: Aplastic Anemia
A 28-year-old female presents with fatigue, bruising, and vaginal bleeding. Over the past week, she has experienced dizziness, generalized fatigue, and increased bruising.
Useful takeaways from this story.
A 28-year-old female presents with fatigue, bruising, and vaginal bleeding.
Over the past week, she has experienced dizziness, generalized fatigue, and increased bruising.
She felt warm earlier this morning but was not able to take her temperature.
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The useful part
A 28-year-old female presents with fatigue, bruising, and vaginal bleeding. Over the past week, she has experienced dizziness, generalized fatigue, and increased bruising. She felt warm earlier this morning but was not able to take her temperature.
How it works
- Initial vital signs include BP 110/70, HR 120, RR 14, SpO2 100% on RA, and T 100.5F.
Details worth keeping
She denies any family history of bleeding disorders. On exam, she has diffuse petechiae and ecchymoses. Labs reveal hemoglobin 6.5, WBC 1.6, and platelet count of 40.
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