Round 26 (MW) Dizziness and Fatigue

Introduction:











You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband.











Initial Vitals:











HR: 118











BP: 150/91











Temp: 100.4F











RR: 20











O2: 99% Room Air











Critical Actions:














* Check pregnancy test











* Check hemolysis labs











* Diagnose TTP











* Consult hematology











* Initiate treatment for TTP