Case 131

1. Prepared by Sintawat Wangsiricharoen, MD and reviewed by Ivo Francischetti, MD, PhD.

The patient is a adult pregnant woman who is being for evaluation of a bleeding disorder. Her previous medical history includes positive antinuclear antibodies (homogeneous and centromere patterns) and gestational autoimmune liver disease, for which she receives IVIG during pregnancy as a preventative measure. She had no bleeding tendency until she was 30 years old, when she began to have prolonged epistaxis, which caused severe anemia. She denies any history of menorrhagia and has had previous cesarean sections without untoward bleeding. Her family history is negative for von Willebrand disease and hemophilia.







The platelet aggregometry suggests there may be an interference of which platelet receptor?

 

840 thoughts on “Case 131”

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  2. ميزات أثاث ايكيا
    تحتاج إلى معرفة بعض فوائد أثاث ايكيا ، قبل إجراء عملية الشراء ، على عكس الذوق الرفيع للمنتج ، هناك عدد من فوائد قطع ايكيا ، سنذكر من خلال السطور التالية أهم ميزات أثاث ايكيا ، وهي كما يلي:
    المواد المستخدمة في أثاث ايكيا هي القطن والخشب بكفاءة وجودة عالية وعمر طويل ، وتهدف الشركة إلى تحقيق جودة أعلى للمنتجات بحلول عام 2022 وإرضاء جميع العملاء ، والخشب المستخدم في صناعة الأثاث حاصل على شهادة دولية بجودته.
    ما يميز أثاث ايكيا هو أنه من حيث جودة المنتج ، تعتمد الشركة على أفضل المواد الطبيعية ، مثل الخشب والقطن ، بجودة عالية مقارنة بالشركات الأخرى.、
    أيضا ، يمكنك الحصول على قطعة بسيطة جدا من خلال الشركة ، لذلك بالإضافة إلى إمكانية الحصول على قطعة تخزين خاصة ، يمكنك حمل المزيد من العناصر.
    يتميز بحقيقة أن أثاث ايكيا قد تم استخدامه لسنوات عديدة ، حيث يتم تثبيته بطريقة تجعل أثاث ايكيا أضعف من غيرها ، وبالتالي يحتاج أثاث ايكيا إلى الاستبدال بعد سنوات عديدة من الاستخدام.
    تطلق منتجات ايكيا حوالي 2500 منتج جديد كل عام ، صممها أفضل الخبراء في صناعة الأثاث ، بشعار صنع منتجات عالية الجودة بأسعار معقولة للجميع ، وتستهدف فئة كبيرة من الناس حول العالم.

    تركيب اثاث ايكيا

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