Case Studies Wednesday

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WEDNESDAY 11TH APRIL, 2018

CASE STUDY

A female patient, aged 31; newly graduated student with a doctoral degree about to start her new career as a Doctor) was flown into your Clinic/ Hospital.

Clinical presentations includes hemorrhage, nausea, migraine,
vagina discharges, breast tenderness, depression; and
examination of vitals depicts arbitrary increase; but hematocrit is decreased.

Blood glucose levels are within the reference range, but ALT/AST levels are elevated.

Parasitological investigations as well as urine/high vaginal swab microscopy, culture, and sensitivity, provides no correlation/useful information;
however surgical intervention reveals a deep vein thrombosis (DVT) around the neck, which was immediately operated. By the time the right half of her skull was removed to relieve the pressure on her brain, the thrombosis had spread to her brain causing severe damage.

She has been battling; and is currently been induced into a coma to stop the blood flow; being operated thrice, with multiple clots seen at the left side of the brain.
Attempts to stop the swelling proved abortive.

Patient is currently being placed on life support.

#What next should be done?

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