We have a patient admitted in private ward. He was admitted initially by the Neurology department for evaluation of right sided headache and red eyes.
MR was done for suspicion of cavernous sinus thrombosis and any other intracranial pathology.
Patient got sick and was admitted under our care.
The patient has been seeking advice for sinusitis from an ENT specialist off an on. He was advised a surgical procedure (not sure but probably for DNS or FESS).
The patient has persistent hemoglobinuria/ hematuria. He has elevated D dimers (2500 ng/ml). CTPA has been planned to rule out pulmonary embolism.
ANCA levels are normal (to rule out granulomatosis with polyangiitis).
Flow cytometry and CTPA awaited. Nephrology consult was also ordered for suspicion of IgA Nephritis.
What investigations should we order to reach the diagnosis?