ITP; Steroids or IVIG? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-12-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 34
Threads: 5
Thanked 22 Times in 13 Posts
Reputation: 32
Question ITP; Steroids or IVIG?

According to MTB3 1st choice of treatment for ITP is prednisone, Kaplan Lecture Notes says try IVIG before steroids.
Also MTB3 says DO NOT TREAT PLATELET COUNT but treat according to symptoms. I remember UW saying different.

Guys need a little help here ..
Reply With Quote Quick reply to this message
The above post was thanked by:
roodiemd (10-13-2012), Usmle16Forall (10-26-2016)



  #2  
Old 10-12-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,104 Times in 1,049 Posts
Reputation: 2124
Default

Count below 30-50000 with minor bleed -------steroids

Count below 10-20000 with serious bleed--------IVIG

Recurrent bleed------splenectomy
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
Reply With Quote Quick reply to this message
The above post was thanked by:
Future Radiolog (10-14-2012), HappyStudy (12-09-2012), K06100 (10-12-2012), ommy (10-12-2012), ts1234 (10-13-2012), Usmle16Forall (10-26-2016)
  #3  
Old 10-12-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 34
Threads: 5
Thanked 22 Times in 13 Posts
Reputation: 32
Default

thanks novobiocin .
yes thats what UW says . and i think we can safely rely on it .
Reply With Quote Quick reply to this message
 
  #4  
Old 10-13-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 31
Threads: 4
Thanked 20 Times in 14 Posts
Reputation: 30
Default What Kaplan Says

In Medicine Lecture notes:
Prednisone is the initial therapy in most patients.
Splenectomy is used in who very low platelet counts less than 10000-20000/mm3 continue to recur depsite repeated courses.
IVIG or RhoGam may be used in patients with profoundly low platelet counts (<10000 uL) or in patients at risk for life-threatening bleeding.
In those who recur after splenectomy, romiplostim or eltrombppag are used.

In pediatrics Lecture notes:
IVIG for 1-2 days.
If inadequate, then prednisone.
Splenectomy reserved for older child with severe disease.

So I guess Kaplan's Medicine lecture notes goes the same as UW.
Reply With Quote Quick reply to this message
The above post was thanked by:
HappyStudy (12-09-2012), zohaib (12-08-2012)
  #5  
Old 12-07-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 66
Threads: 5
Thanked 17 Times in 11 Posts
Reputation: 27
Default

Quote:
Originally Posted by roodiemd View Post
In Medicine Lecture notes:
Prednisone is the initial therapy in most patients.
Splenectomy is used in who very low platelet counts less than 10000-20000/mm3 continue to recur depsite repeated courses.
IVIG or RhoGam may be used in patients with profoundly low platelet counts (<10000 uL) or in patients at risk for life-threatening bleeding.
In those who recur after splenectomy, romiplostim or eltrombppag are used.

In pediatrics Lecture notes:
IVIG for 1-2 days.
If inadequate, then prednisone.
Splenectomy reserved for older child with severe disease.

So I guess Kaplan's Medicine lecture notes goes the same as UW.
May I ask which year your Kaplan notes are?
Thanks
Reply With Quote Quick reply to this message
  #6  
Old 12-08-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 31
Threads: 4
Thanked 20 Times in 14 Posts
Reputation: 30
Smile Sure

Quote:
Originally Posted by Boatox View Post
May I ask which year your Kaplan notes are?
Thanks

Sure you may, it's the 2011 version.
Reply With Quote Quick reply to this message



Reply

Tags
Hematology-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Steroids in Trauma sonu.agarwall USMLE Step 2 CK Forum 3 08-18-2012 01:28 PM
Prenatal Steroids Gestational Age Cut Off! tyagee USMLE Step 2 CK Forum 3 07-03-2012 05:03 AM
PPD 8 mm before starting steroids ... what next ? EXPLANATION!!!! ??? tyagee USMLE Step 2 CK Forum 8 06-07-2012 05:48 AM
Treating excessive steroids with steroids! kenlee USMLE Step 1 Forum 4 03-09-2012 07:33 AM
Ambiguous genitalia and low steroids khushboo USMLE Step 1 Forum 18 08-23-2011 05:10 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)