Case 150 -- Renal Failure, Anemia and Thrombocytopenia

Contributed by Peter Christakos MD, Ileana Lopez MD, Darell Triulzi MD
Published on line in June 1998


CLINICAL HISTORY:

This 25 year old gravida 2 para 1 white female gave birth at 42 weeks to a baby boy by vaginal delivery. She developed oliguria with 2+ proteinuria on urinalysis four hours following delivery, and subsequently developed pitting edema of the upper and lower extremities, blurred vision, and mild jaundice without hypertension. The patient was transferred to the University of Pittsburgh Medical Center (UPMC) on post-partum day 3 for further medical treatment.

SELECTED LABORATORY DATA

Day of delivery (at Uniontown Hospital):

Post partum day 3 (at UPMC) (normal value in parenthesis):

CLINICAL COURSE

DIFFERENTIAL DIAGNOSIS

FINAL DIAGNOSIS


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