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25th July 2024
A 65-year-old female is admitted from A&E after presenting with diarrhoea
A 65-year-old female is admitted from A&E after presenting with diarrhoea. This has worsened over the last few days and has now become bloody. She has a background of hypertension and is on regular amlodipine.
Her observations are: HR (heart rate) 100 bpm, BP (blood pressure) 112/70 mmHg and she is apyrexial. She is oriented to place, person and time. Her blood tests are as follows:
| Hb (115 – 165 g/L) | 95 g/L |
| WCC (3.6 – 11.0 x 10⁹/L) | 13.7 x10⁹/L |
| Platelets (140 – 400 x10⁹/L) | 58 x10⁹/L |
| Bilirubin (<21 μmol/L) | 51 µmol/L |
| Urea (2.5 – 7.8 mmol/L) | 12 mmol/L |
| Creatinine (45–84 μmol/L) | 185 µmol/L |
| CRP (< 5mg/L) | 85 mg/L |
| Film | Schistocytes seen |
Abbreviations: CRP (C-reactive protein)
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