A 56-year-old man presented with a scalp laceration and T3 and T12 compression fractures after slipping down an escalator. Biochemical investigations On admission, his hemoglobin was 10g/dL and drifted to 5.6 g/dL. His platelet count was 200,000 k/mcL (on the day of admission) and dropped to 6000 k/mcL (day 14) Basic metabolic panel: normal. Alanine transaminase: 25 U/L; aspartate transaminase: 45 U/L; total bilirubin: 3.4 U/L (direct, 3.1 U/L); alkaline phosphatase: 164 U/L; albumin: 2.2 g/dL. White blood cell count: 18.4 k/mcL; Hemoglobin: 10 g/dL; Platelets: 6,000 k/mcL; Mean corpuscular volume: 92 mcm 3 . Prothrombin time international normalized ratio: 1.2.
Partial thromboplastin time: normal. Fibrinogen: normal. d-dimer: 7,900. Heparin-induced thrombocytopenia (HIT) antibody: positive. What is the probable diagnosis? Stay connected, the answer will be posted soon *This patient…
