Lab Case 198

38 year old female presents to ED c/o heavy menstrual bleeding and bruising and non blanching spots to her limbs. She reports a recent URTI.

Initial blood results as below:

FBC  Hb 82g/L MCV 80fL Plt’s 19 WCC 8.3 (normal neutrophils and lymphocytes)

UEC’s Na 138 mmol/l K 3.8mmol/l Cl 106mmol/l HCO3 24mmol/l Urea 5.5 mmol/l Cr 55umol/l

LFT’s Bili 34 umol/l, ALP 72UL, GGT 20UL, ALT 19UL, TP 42g/l, ALB 70g/L

  1. Describe the above blood results and what would be the differential diagnosis for this case
  2. What further blood tests would you order to further investigate this patient