Anemia, Exertional Dyspnea, and Petechial Rash in a Healthy - - PowerPoint PPT Presentation

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Anemia, Exertional Dyspnea, and Petechial Rash in a Healthy - - PowerPoint PPT Presentation

Apr 26, 2023 14 likes •87 views

Anemia, Exertional Dyspnea, and Petechial Rash in a Healthy 62-year-old Alexandra M Bender 1,2 , Kunali Gurditta 1 , Elizabeth H. Cusick 2 , Kathleen Mannava 2 , Thomas Walters 3 , Molly E. Plovanich 2 , Meghan K. Train 1 1 Department of Medicine,

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Anemia, Exertional Dyspnea, and Petechial Rash in a Healthy 62-year-old

Alexandra M Bender1,2, Kunali Gurditta1, Elizabeth H. Cusick2, Kathleen Mannava2, Thomas Walters3, Molly E. Plovanich2, Meghan K. Train1

1Department of Medicine, University of Rochester School of Medicine; 2Department of Dermatology, University of Rochester School of Medicine; 3Department of Family Medicine, University of Rochester School of Medicine

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SLIDE 2

History

  • 62M h/o HTN, HLD, tobacco use, CVA, remote EtOH
  • CC: lightheadedness and increased bruising
  • ROS: exertional dyspnea, left-sided extremity swelling, hematuria %
  • Chart review: seen by hematology over past year for episodes of %
  • anemia. Outpatient bone marrow biopsy and G6PD negative. %
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SLIDE 3

Printed on 8/12/2020 3:40:22 PM Page 1 of 1 Haley, Christopher Scan on 6/26/2020 by User: 55040 of Buttocks

Physical Exam )

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Initial Workup

  • H/H on presentation 11.2/33 MCV 102 $

à7.9/24 on HD4

  • Plt 229 $
  • tBili 2.1, iBili 1.3
  • CRP 79 ESR 52 $
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SLIDE 5

!"#$%&#'()*%

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SLIDE 6

Scurvy: 1000mg vitamin C daily for 1-2 weeks,

Treatment

followed by 400mg daily until complete recovery

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SLIDE 7