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MRCP Part 1 · interactive decisions lab

Haematology & Coagulation Decisions Lab

Interpret the pattern, expose the dangerous mimic and make the management-changing decision.

Released for practice12 difficult fictional cases · source checked

Independent Clinora teaching, not an official MRCP examination or a substitute for local emergency, transfusion or anticoagulation pathways.

0/12 attempted · 0 correct

Thrombotic microangiopathy

Thrombocytopenia, confusion and fragmented cells

HC-01

A 34-year-old develops headache, fluctuating confusion and bruising. There is no major bleeding. The blood film is phoned through urgently.

Hb78 g/LPlatelets17 ×10⁹/LLDH1,840 U/LHaptoglobinUndetectableFilmSchistocytes

Staged information

Commit to your interpretation, then reveal only the next piece of information.

What is the best immediate plan?