Transfusion Medicine

Case 117

435 Comments
1. Prepared by Seena Tabibi, MD and reviewed by Liz Crowe, MD

A middle-aged adult presented to the hospital with head trauma. Their past medical history was significant for chronic Hepatitis infection complicated by cirrhosis and splenomegaly. They were found to have a subdural hematoma on imaging. Neurosurgery was consulted to evaluate the feasibility of evacuating the hematoma. The patient has required numerous platelet transfusions in attempt to reach a platelet count goal of >100 K/ cu mm. The patient's platelet count has ranged from 23 K/ cu mm to 40K/cu mm (reference range 150-350 K/ cumm) over the past two days. The patient received one unit of apheresis platelets, which resulted in the increment in the platelet count from 23 K/cu mm to 32 K/cu mm. The post-transfusion platelet count was obtained within 1 hour of the end of transfusion. The patient has a body surface area (BSA) of 1.7 meters squared. Calculate corrected count increment (CCI).

 

435 thoughts on “Case 117”

  1. طرق مكافحة حشرة الأرضة كيميائياً استخدام المبيدات الحشرية لمكافحة هذه الحشرة. إدخال المفترسات عليها، حيث هناك العديد من الحشرات الأخرى والمفترسات التي تعتبر حشرة الأرضة وجبة دسمة لها، مثل العناكب والذباب والدبابير والنمل العادي والزواحف والطيور والخفافيش، فيمكن تسليطها على أماكن وجودها كي تقضي عليها. إضافة المواد العضوية للتربة، فتوجد هناك أنواع من النمل الأبيض التي تتغذى على النباتات الميتة الموجودة في التربة، وعند إضافة السماد العضوي للتربة أو السماد المزيجي لها فإنّ هذه النباتات الميتة تقل وتختفي فيبقى دون مصدر للطعام فيموت ويتم التخلص منه. تجنب استخدام الأسمدة غير العضوية؛ لأنّ هذا النوع من الأسمدة يساعد على نمو النباتات النسيجية الناعمة بشكل سريع مما يوفر المزيد والمزيد من مصادر الغذاء لحشرة الأرضة فتنمو وتعشش وتتكاثر في هذه الأمكنة. التخلص من أعشاشه، حيث يمكن البحث عن أعشاش حشرة الأرضة إن أمكن وتدميرها وقتل الملكة التي تسبب التكاثر.

    شركة مكافحة حشرات

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