Saturday, May 15, 2010

Pattern recognition, for you internal medicine people out there. This was my patient's blood in a tube.

Diagnosis?

-- Sent from my Palm Pre

6 Comments:

Anonymous Anonymous said...

familial hypercholesterolaemia

12:40 PM  
Blogger Acidulous said...

Ok i am no expert... just junior doc. Is it Autoimmune Haemolytic Anaemia???

5:36 PM  
Anonymous Anonymous said...

Hypertrigliceridemia!!?

7:48 PM  
Blogger vagus said...

Yea this was a lipemic sample, classic for hypertriglyceridemia, not hypercholesterolemia. Most likely familial when you see numbers are high as his (2300 mg/dL!) but one should consider secondary causes too: EtOH, hypothyroidism, medications (for women, BCP esp), uncontrolled diabetes.
This patient also has a history of recurrent pancreatitis, undoubtedly from the very high Tg.
Despite medications, there is a good chance this pt will still need plasmapheresis to get things to a satisfactory level.

8:11 PM  
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