: Banal Card Steel Test Mark Plasma 10. A previously healthy 22-year-old woman is brought to the emergency department by her husband because of fever and severe heartacha for 24 hours. For the past 12 hours, she has taken 400 mg of ibuprofen every 4 hours for the headache Her temperature is 36 3°(101′) puisis 86/min, respirations are 10min, and blood pressure is 110/60 mm Hg. Physical examination shows nuchal rigidity and petechie over the upper extremities and trunk. A lumbar puncture is done. Laboratory studies show. Hematologia Hemoglobin 11.2 d. Hematocrit 35% Leukocyte count 11,200mm Platelet count 20.000/mm Prothrombin timo 18 sec (INR-1) Partial thromboplastin time 49 sec fibrinogen 50 mg/dL (N-200-400) Cerebrospinal fluid Leukocyte count 550mm Segmented neutrophils 95% A photomicrograph of a Wright-stained peripheral blood smear is shown. Which of the following is the most likely cause of the petechiae in this patent? A) Disseminated intravascular coagulation B) Henoch-Schönlein purpura C) Ibuprofen-induced thrombocytopenia D) immune thrombocytopen purpura E) Thrombotic thrombopurpura
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