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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)
Source: Student Doctor Network - November 2, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Internal Medicine and IM Subspecialties Source Type: forums