Pattern recognition, for you internal medicine people out there. This was my patient's blood in a tube.
Diagnosis?
-- Sent from my Palm Pre
posted by vagus at 10:55 AM
Life (and death)...
My life as a Malaysian doctor in the United States.
Saturday, May 15, 2010
About Me
- Name: vagus
- Location: Midwest, United States
A Malaysian endocrinologist, trained in a major academic center in USA, and now starting out in the world of practice after 12 years of training. To maintain patient confidentiality, names, ages and genders have been altered (And some stories totally fabricated to fool gullible readers). This site is not meant to provide medical advice or consultation.
4 Comments:
familial hypercholesterolaemia
Ok i am no expert... just junior doc. Is it Autoimmune Haemolytic Anaemia???
Hypertrigliceridemia!!?
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.
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