A medical student is familiarizing herself with recent overnight admissions to an acute medical unit of a university hospital
Which of the following patients would the student recognize as least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history?
A)
A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
B)
A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
C)
A 30-year-old female with a diagnosis of left leg deep vein thrombosis and a pulmonary embolism
D)
A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use
Ans:
D
Feedback:
Stroke, transient ischemic attacks, deep vein thrombosis, and pulmonary emboli are all common manifestations of the hypercoagulability associated with antiphospholipid syndrome. Cellulitis, endocarditis, and other infectious processes are less likely to be correlated with antiphospholipid syndrome.
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