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Information Journal Paper

Title

YOUR DIAGNOSIS, PLEASE

Author(s)

 PANAHI M. | Issue Writer Certificate 

Pages

  325-325

Abstract

 A 20 year-old unmarried woman was evaluated in the hospital because of fever and progressive Icterus.The patient had been well until 45 days earlier when malaise, anoreia, cervical lymphnodes and weight loss developed.Two weeks before admission laboratory tests were ordered by her phcysician.There was no cough, diarrhea, disuria or rash, but she complained of light stool, dark urine and vomiting.Tests for viral hepatitis A.B and C were negative but aminotransfrases were more than 1000 Iu and total bilirubine 6 mgldl with hematologic tests about normal ranges. There after she vomited as often as 4 times daily. The pulse was 85 beats/minute and respiratory rate 16 beaths/minute.Hetrophil antibadies test was requerted and because of high prothrombine time (19 seconds) and progressive jaundice the patient hospitalized and serum infusion with vitamine K1 10 mg daily was adminstred subcutaneusly. On the second hospital day, laboratory tests were performed and an ultrasonographic examination of the abdomen performed, revealed mild heterogenous echogenecity.No fluid was present in the subhepatic space. On eyes, examination, kayser fleische rings were not found and urine copper was in a normal limit.Reticulocyte count was normal and coombs test was negative. Plateletes were normal (shape and number) and WBC did not show atipycal lymphocytes.In her medical history she did not state consumption of herbal and illegal drugs, but sugar, creatinine, uric acid, LDL. HDL, and urinalysis were normal and two blood cultures were negative.Anti HIV-1 test was non reactive and febrile agglutination tests were negative too.On the fifth hospital day no petechiae, conjuctival injection were seen. Chest.X.Ray was clear.The liver descended two cm below the righ costal margin and spleen was just felt. The patient was alert and there was no signs and symptoms of hepatic encephalopathy. The patient had no clinical appearances of chronic liver disease like spider angiomas, ascitis and clubbing .

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    • Cite

    APA: Copy

    PANAHI, M.. (2004). YOUR DIAGNOSIS, PLEASE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(85), 325-325. SID. https://sid.ir/paper/51438/en

    Vancouver: Copy

    PANAHI M.. YOUR DIAGNOSIS, PLEASE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(85):325-325. Available from: https://sid.ir/paper/51438/en

    IEEE: Copy

    M. PANAHI, “YOUR DIAGNOSIS, PLEASE,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 85, pp. 325–325, 2004, [Online]. Available: https://sid.ir/paper/51438/en

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