Discussions By Condition: I cannot get a diagnosis.

closed to death, symptoms with no treatment

Posted In: I cannot get a diagnosis. 7 Replies
  • Posted By: mah_isa
  • March 6, 2009
  • 05:08 PM

here are symptoms and clinical findings historically:

10/2003: abdominal pain, Hematuria, urine retention, vaginal bleeding, investigation revealed PUJ stenosis with mild hydronephrosis (systoscopy, IVP, Lt retrograde pyclography C.T.) then Lt Pyoloplasty was done with DJ stent insertion.
severe anemia and hematurea, new investigation revealed nothing about source of intermittent gross hematurea and chronic microscopic hematurea coagulation profile was normal.
12/2003: lt arm pain after migration of canula into vein, X-ray shows forign body.
03/2004: urine retention, general weakness, dyspnea on exertion, tachy cardia, poor appetite.
assessment: tenderness of cystophoresis angle, and painless macroscopic hematurea.
11/2005: epigastric and rt upper hypochondrium pain, vomiting of gastric contents and blood, hematemesis.
assessment: U/S cyst like lesion in rt pelvis, gastroscopy failed due to severe esophageal spasm.
03/2006: hematuria
08/2006: cough groung comiting.
04/2007: vertigo, headache, palpitation, hematuria, hemoptysis, dyspnea.
assessment: on C.T. evideence of small left cortical cyst of kidney, evidence of few enlarged baratachial lymph nodes.
03/2009: hgb 3.7 g/dl, blurred vision, general weakness.
severe anemia till now, Hgb reached dangerous level 3.7 g/dl, tests included kidney function test, liver function test, pt, ptt, urine analysis and culture, stool analysis, and many other tests are done with normal findings.

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7 Replies:

  • venous Blood Gases: ph 7.243, pco2 17.2, po2 31, po2 50
    mah_isa 15 Replies Flag this Response
  • plz she has blurred vision and on ophthalmology consultation shows retinal hemorrhage.
    mah_isa 15 Replies Flag this Response
  • Bleeding disorder.Leukemia? Disseminated Intravascular Coagulation? Aplastic anemia? Thrombocytopenia? The Ebola Virus? Check the platlets! Check the platlets! OMG check the platlets!
    MissPickwickian 15 Replies Flag this Response
  • Bleeding disorder.Leukemia? Disseminated Intravascular Coagulation? Aplastic anemia? Thrombocytopenia? The Ebola Virus? Check the platlets! Check the platlets! OMG check the platlets!the platelets count in in normal valuesPLT 160
    mah_isa 15 Replies Flag this Response
  • Have they checked her for von Willebrand"s disease?Plus,with the hematemesis and unsuccessful gastroscopy,she should be treated for a bleeding ulcer.
    richard wayne2b 1232 Replies Flag this Response
  • How are they treating her?
    richard wayne2b 1232 Replies Flag this Response
  • nothing to do
    mah_isa 15 Replies Flag this Response
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