Glucose-6-phosphate dehydrogenase (G6PD) deficiency Quiz: Ace Your Exams
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A 32-year-old woman, gravida 2 para 1, at 33 weeks gestation comes to the emergency department complaining of nausea, vomiting, headache, blurry vision, and severe abdominal pain for the last hour. The abdominal pain is described as a 10/10 stabbing pain that radiates to the back. Her temperature is 38.4°C (101.1°F), pulse is 92/min, respirations are 20/min, and blood pressure is 178/106 mmHg. Laboratory tests are obtained and results are shown below. Antiphospholipid antibody titers are negative.
Which of the following is the most likely diagnosis in this patient?
| Laboratory value | Result |
| Hematologic | |
| Platelet count | 56,000/mm3 |
| Hemoglobin | 9.8 g/dL |
| Reticulocyte count | 4.2% |
| Haptoglobin | 10 mg/dL |
| Prothrombin time | 11 seconds |
| Partial thromboplastin time | 29 seconds |
| Bleeding time | 8 minutes |
| Blood, plasma, serum | |
| Lactate dehydrogenase (LDH) | 380 U/L |
| Total bilirubin | 5.1 mg/dL |
| Direct bilirubin | 0.3 mg/dL |
| Alanine aminotransferase (ALT) | 980 U/L |
| Aspartate aminotransferase (AST) | 530 U/L |
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