NBME Free 120 Thrombotic thrombocytopenic purpura (NBME Answers)

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free120/Block 2/Question#32 (reveal difficulty score)
A previously healthy 40-year-old woman is ...
Thrombotic thrombocytopenic purpura 🔍 / 📺 / 🌳 / 📖
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submitted by ∗bwdc(697)

TTP has a classic pentad: microangiopathic hemolytic anemia, thrombotic purpura, fever, renal failure, neurologic abnormalities (AMS). Whenever you see a question where the patient suddenly has a lot going on, consider TTP.

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mgemge Why is TSS wrong? +2

aejinkim @mgemge: the patient's BP is still up there, and for me, she doesn't have a crazy fever that i associated with when i think of TSS +1

cheesetouch also TSS they would have to give you tampon use or nasal packing left in for a day. And it wouldn't cause schistocytes. +1

beltorres23 TTP pentad FAT RN: Fever, Anemia, Thrombocytopenia, Renal, Neuro symptoms +2

aakb The big hint for me was schistocyte formation +1

meja2 WOW- I must have had a brain fart...completely missed the Schistocyte !!!! +

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