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NBME Free 120 Answers

free120/Block 2/Question#32 (reveal difficulty score)
A previously healthy 40-year-old woman is ...
Thrombotic thrombocytopenic purpura ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

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submitted by โˆ—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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