]> 2026-07-31T16:29:04+00:00 WBR0960 0 en Immune thrombocytopenia purpura Thrombotic thrombocytopenia purpura Renal failure Drug-induced thrombocytopenia Von-Willebrand disease Emergency Room A 44 year old female comes to the emergency department with an episode of bloody vomiting. She was in her usual state this morning but suddenly developed these symptoms. On further review of history, she says she had intermittent passage of black stools over the past 2 weeks. She is a known hypertensive for past 10 years and on thiazide medications. Her past history is otherwise insignificant and her family history is unremarkable. Her menstrual cycles are normal. She sexually active with her husband and does not use contraceptives. Her vitals are temperature: 36.7 C, blood pressure: 140/80 mmHg, pulse: 80/min and respiration: 15/min. Skin is normal and all system examinations are normal. The patient is treated symptomatically and her laboratory values are as follows : Hb : 10 g/dl RBC’s : 2.5 million/cmm WBC’s : 6000/cmm Platelets : 300,000/cmm Neutrophils : 60 % Eosinophils : 2 % Lymphocytes : 32 % Monocytes : 6 % MCHC : 34 % MCV : 85 fl ESR : 15mm/hr PT : 13 sec (N 11-15 sec) APTT : 30 sec (N 25-40 sec) BT : 18 min (N 2-7 min) Serum creatinine : 3 mg/dl Serum calcium : 9 g/dl Whats is the most likely cause of her symptoms ? C Hematology 2020-10-28T02:12:05Z 2459150.5917245 WBR0960