HY USMLE Q #787 – Heme

\

A 4-year-old boy is brought to the physician for a 12-hour history of severe pain in his hands. He has a history of a condition in which the beta-chain of his hemoglobin is less hydrophilic than normal. A blood smear is shown. Which of the following is this patient at greatest risk for?

 Borellia sepsis
  Destruction of platelets due to antibodies against GpIIb/IIIa
 Gram-positive diplococcal sepsis
  Hemarthrosis
  Schistocytosis with thrombocytopenia