A 3-year-old girl presents to you with fever, vomiting, diarrhea, and abdominal pain that has lasted for 2 days. She wakes up one morning pale and lethargic.
On examination, she is afebrile but weak and irritable. You decide to order laboratory studies. The results are as follows:
White blood cell count: 19,400/μL
Hemoglobin: 11 g/dL
Platelet count: 60,000/μL
Partial thromboplastin time: 37.7 seconds
Prothrombin time: 13.3 seconds
Urine blood: +1
Urine protein: +2
Creatinine: 1.5 mg/dL
Blood smear: (+) schistocytes
This girl is experiencing a condition that causes which of the following?
This question appears in Med-Challenger Pediatric Medicine Exam Review with CME
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