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10.1002/ajh.23840 http://scihub22266oqcxt.onion/10.1002/ajh.23840 C4333067!4333067!25196665     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Hematol 2015 ; 90 (3): 264-6 Nephropedia Template TP {{tp|p=25196665|t=2015. BONE MARROW NECROSIS DISCOVERED IN A PATIENT WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA |pdf=|usr=}}{{25196665}} gab.com Text BONE MARROW NECROSIS DISCOVERED IN A PATIENT WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA JO: Am J Hematol http://www.kidney.de/pget.php?&tw=1&pmid=25196665 #FOAvip A 48 year-old white man was hospitalized for evaluation of back pain. At time he reported that he had been in excellent health until three months before his hospitalization when he noticed difficulty walking when he got out of his car following a long trip. He said that ?it just felt as though my legs wouldn?t move very well?. He did not see a doctor since this problem resolved within several days. Three weeks before his hospitalization, he thought he ?had a viral illness? with cough and fatigue that persisted, together with subsequent abdominal discomfort. His primary care physician noted that his platelet and white blood cell counts were low which he attributed to a viral infection. An abdominal ultrasound reported minimal splenomegaly. He was treated with antibiotics and prednisone; all of his symptoms resolved and his platelet count increased. One week before his hospitalization he developed low back pain which made walking difficult. He also had fever and sweats. When these symptoms persisted he was admitted to the hospital. His physical examination was normal. His spleen was not palpable; he had no lymphadenopathy; his neurologic examination, including his gait, was normal. He had no back tenderness. His platelet count was 23,000/µL; white blood cell count, 3700/µL with a normal differential; hemoglobin, 13.5 gm/dL; creatinine, 1.7 mg/dL; LDH, 1737 U/L (normal, <190 U/L). Coagulation tests were normal; fibrinogen was 858 mg/dL. Examination of the peripheral blood smear demonstrated schistocytes and normal white cell morphology. Thrombotic thrombocytopenic purpura (TTP) was suspected because of the thrombocytopenia, red cell fragmentation, high serum LDH and creatinine, the history of fever, the possibility that the difficulty walking may have been a neurologic manifestation of TTP, and ? most important ? no apparent alternative etiology. Treatment with plasma exchange (PEX) and corticosteroids was begun. Twit Text FOAVip BONE MARROW NECROSIS DISCOVERED IN A PATIENT WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA ????Am J Hematol http://www.kidney.de/pget.php?&tw=1&pmid=25196665 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25196665 #FOAvip English Wikipedia <ref>{{Cite pmid|25196665}}</ref> BONE MARROW NECROSIS DISCOVERED IN A PATIENT WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA #MMPMID25196665 Parekh HD; Reese JA; Cobb PW; George JN Am J Hematol 2015[Mar]; 90 (3): 264-6 PMID25196665show ga A 48 year-old white man was hospitalized for evaluation of back pain. At time he reported that he had been in excellent health until three months before his hospitalization when he noticed difficulty walking when he got out of his car following a long trip. He said that ?it just felt as though my legs wouldn?t move very well?. He did not see a doctor since this problem resolved within several days. Three weeks before his hospitalization, he thought he ?had a viral illness? with cough and fatigue that persisted, together with subsequent abdominal discomfort. His primary care physician noted that his platelet and white blood cell counts were low which he attributed to a viral infection. An abdominal ultrasound reported minimal splenomegaly. He was treated with antibiotics and prednisone; all of his symptoms resolved and his platelet count increased. One week before his hospitalization he developed low back pain which made walking difficult. He also had fever and sweats. When these symptoms persisted he was admitted to the hospital. His physical examination was normal. His spleen was not palpable; he had no lymphadenopathy; his neurologic examination, including his gait, was normal. He had no back tenderness. His platelet count was 23,000/µL; white blood cell count, 3700/µL with a normal differential; hemoglobin, 13.5 gm/dL; creatinine, 1.7 mg/dL; LDH, 1737 U/L (normal, <190 U/L). Coagulation tests were normal; fibrinogen was 858 mg/dL. Examination of the peripheral blood smear demonstrated schistocytes and normal white cell morphology. Thrombotic thrombocytopenic purpura (TTP) was suspected because of the thrombocytopenia, red cell fragmentation, high serum LDH and creatinine, the history of fever, the possibility that the difficulty walking may have been a neurologic manifestation of TTP, and ? most important ? no apparent alternative etiology. Treatment with plasma exchange (PEX) and corticosteroids was begun. äBONE MARROW NECROSIS DISCOVERED IN A PATIENT WITH SUSPECTED THROMBOTIC(epmc).pdf DeepDyve Pubget Overpricing