2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M10_F5.jpg"}},{"insert":"\n\n"},{"insert":"On examination, Paula has a pulse of 88 bpm, blood pressure of 110\/82 mmHg and a respiratory rate of 22 cycles\/min. She is afebrile and anicteric. No lymph nodes are palpable. You note petechiae over both ankles.\n\nExamination of the abdomen reveals a fundal height compatible with the gestational age. There are no areas of tenderness and no organomegaly. The pelvic examination reveals no abnormalities. There is no active vaginal bleeding.\n\nYou decide to order several basic investigations. The results are as follows:\n\nWBC count: 10,800\/mm3 (4,000-10,000)\nDifferential WBC count:\r\n Neutrophils: 6,500\/mm3 (3,000-7,000)\n Lymphocytes: 3,500\/mm3 (1,000-4,000)\n Eosinophils: 200\/mm3 (50-400)\n Basophils: 100\/mm3 (25-200)\n Monocytes: 500\/mm3 (100-600)\nHb: 11.9 g\/dL (10.5-17.5)\r\nHct: 32.4% \r\nPlatelets: 16,000\/mm3 (150,000-400,000)\n\nBlood Group: A negative.\n\nINR: 1.02 (0.9-1.1)\r\nPT: 11.8 sec (10-14)\r\nAPTT: 38 sec (36-42)\n\nUrinalysis: no red blood cells, pus cells, or cell casts.\n"}]}