Hematology Q
HIV - 09-09-07 20:14

A21-year-old man with no significant past medical history presents to office complaints of blood in his urine and mucosl bleeding while brushing his teeth.he has intermittent ringing in the ears he denies any drug use he has no family history of bleeding disorders.petechiae are noted in his oral cavity,as is dried blood in nostrils.

laboratory studies show the following

hematocrit 32%,white blood cell 8,000/mm3 with 60% neutrophils,PT 13seconds, PTT28 second,LDH 1,200u/i.elevated indirect bilirubin

combs test is ve+.abdominal examination is normal, and the peripheral shows spherocytes

what is the most likely diagnosis?

A)alport's syndrome
B)Bernard-soulier syndrome
C)felty's syndrome
D)Thrombotic thrombocytopenic purpura
E)Evaans' syndrome
F)ITP