A 4-year-old boy is brought to a tertiary emergency department after five days of fever and diarrhoea, now bloody, with abdominal pain. His mother noticed bruising today. He is lethargic, dehydrated, and has a purpuric rash on his back. Examination is otherwise unremarkable.
| Observation |
Result |
| Temperature |
38.5 C |
| Pulse |
140/min |
| Blood pressure |
75/40 mmHg |
| Oxygen saturation |
98% on room air |
| Respiratory rate |
40/min |
| Test |
Result |
| Haemoglobin |
60 g/L |
| Platelets |
30 x 10^9/L |
| White cell count |
15 x 10^9/L |
| Blood film |
Schistocytes |
| Sodium |
145 mmol/L |
| Potassium |
5.5 mmol/L |
| Creatinine |
250 micromol/L |
| eGFR |
35 mL/min/1.73m2 |
| Glucose |
5 mmol/L |
| Total bilirubin |
60 micromol/L |
| Conjugated bilirubin |
<10 micromol/L |
| Haptoglobin |
0.3 g/L |
Describe the main blood-test findings or interpretation.
(Marked out of 3.0)
/ 3
State the most likely diagnosis.
(Marked out of 1.0)
/ 1
Give two (2) pathogens commonly associated with this disease process.
(Marked out of 1.0)
/ 1
List other differential diagnoses to consider.
(Marked out of 3.0)
/ 3
List four (4) key management elements, including management of complications.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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