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Showing posts from June 5, 2016

Lies, half-truths and manipulations

This boy came to OPD with bleeding from gums. He was seen in Dental OPD and was brought to us to rule out any systemic issue. His clinical evaluation revealed multiple purpuras and petechial areas (bleeding spots) suggestive of a bleeding disorder. We asked for his blood parameters and while we were looking at the details, I kept asking the story. Any history of travel, any past history, any other illnesses, any drugs he is on etc – the routine screening for causes of such an illness. He had a pancytopenia – low Hb – 8gm/dl, TLC 1700 cells/cumm and Platelets of 2000 cells/cumm. And as we were trying to get his story, his mother who accompanied him was asking him, why are you not telling everything? Tell what you want to tell. I thought he was going to tell me some major past history which will give some clues to his illness. But he blurted some “inconsequential details” of some “night fall” weakness etc, which he thought was the cause of his illness. But I was not sure, if he was tel…