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General Surgery


Answer 2
  1. Hemolytic uremic syndrome. The low platelet count is the key piece of information in evaluating this patient. Low platelet counts are not present in patients with appendicitis, gastroenteritis, and intussusception. Uremia is always present with this pathology. In the United States, the responsible pathogen is usually Escherichia coli O157:H7. The pathogenesis is secondary to endothelial cell damage caused by an unclear mechanism.

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