Loose Bowels 2

Blood & Lymphoreticular System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young boy has presented with bloody diarrhea; this is uncommon in children, and potentially a sign of serious underlying disease.\n\nKey possibilities include bacterial and amebic dysentery, inflammatory bowel disease (although uncommon at this age), Henoch-Schonlein Purpura (HSP), hemolytic uremic syndrome (HUS), and thrombocytopenic thrombotic purpura (TTP).\n\nNote also the marked reduction in urine output; this is particularly ominous, given that he is not clinically dehydrated; acute kidney injury (AKI) is a very real concern.\n\nWhen the above finding is taken into account, HUS immediately rises into prominence; TTP is also a possibility, although one would expect to find more florid neurological symptoms.\n\nHSP is clinically less likel"}]}

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