Five year old child presents with oliguria. There is history of bloody diarrhea 2 weeks ago. Coagulation tests are normal. Peripheral smear is given. What is your diagnosis
Thrombotic thrombocytopenic purpura
Idioppathic thrombocytopenic purpura
G6PD deficiency
Hemolytic uremic syndrome
Ans. (d) Hemolytic uremic syndrome(Ref: R 9th/pg 659)Features of oliguria following an episode of diarrhea with peripheral smear finding of Schistocytes (Helmet cells) is suggestive of Hemolytic uremic syndrome.
Bleeding Disorders