An 83-year-old woman fell and broke her left wrist. She underwent open reduction with internal fixation of the radial head fracture. Postoperatively she received heparin prophylaxis for thromboembolism and diuretics to treat pulmonary edema. Laboratory studies showed: On admission: Hgb 13.2 g/dL, Hct 39.1%, MCV 85 fL, platelet count 209,000/microliter, WBC count 5720/microliter, prothrombin time 13 seconds, partial thromboplastin time 28 seconds 1 week later: Hgb 13 g/dL, Hct 38.8%, MCV 86 fL, platelet count 101,000/microliter, WBC count 6310/microliter, prothrombin time 12 seconds, partial thromboplastin time 27 seconds She suddenly developed difficulty in moving her right arm. What is the most likely cause for her findings? A Hypersplenism B Idiopathic thrombocytopenic purpura C Disseminated intravascular coagulation D Drug-induced thrombocytopenia E Thrombotic-thrombocytopenic purpura

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d possibility of HIT

D. . Drug Induced Thrombocytopenia

DIC most probably....

Drug induced thrombocytopenia

D. Drug induced thrombocytopenia. Get CT Brain to r/o stroke

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