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Old 11-07-2012
tyagee's Avatar
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Question ITP next step

pt has ITP suspicion...platelet type bleeding after URI .... CBC normal except platelets which are low. what to do next ?
  • steroids if platelet <30 k \observe if more
  • antibody testing for ITP [gpIIb-IIIa]
  • bone marrow exam
  • ?

inputs welcomed
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Old 11-07-2012
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Quote:
Originally Posted by tyagee View Post
pt has ITP suspicion...platelet type bleeding after URI .... CBC normal except platelets which are low. what to do next ?
  • steroids if platelet <30 k \observe if more
  • antibody testing for ITP [gpIIb-IIIa]
  • bone marrow exam
  • ?

inputs welcomed
Isolated thrombocytopenia in a healthy person is ITP...

So no need for furthur evalution except for USG for Spenomegaly..

So answer here is Steroids if Plt < 30K/ Observation
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Old 11-07-2012
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Count below 30-50000 with minor bleed -------steroids

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

Recurrent bleed------splenectomy

It was discussed here
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