Med Mal: Kidney biopsy -- > Hemorrhagic Shock -- > Pressors -- > 9 fingers amputated

Case here: Hemorrhagic Shock from Biopsy Lady with antiphospholipid syndrome (also history of PE and DVT) comes to ED with SOB. No PE/DVT, admitted. Presumptive diagnosis of lupus nephritis made, biopsy recommended. Warfarin held, switched to heparin before procedure, then Lovenox afterward (plan to monitor with anti Xa levels). Anti Xa levels never come back. Patient develops hemorrhagic shock, started on pressors, fingers ischemic. 9 digits amputated (right thumb lives to fight... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Internal Medicine and IM Subspecialties Source Type: forums