Module 7 Case Study Analysis diagnosis of
ITP.
Module 7 Case Study Analysis diagnosis of ITP.
Explain the following related to this case study: Anemia and the
different kinds of anemia (i.e., micro and macrocytic).
Why a patient would need a splenectomy after a diagnosis of ITP.
Case Study:
A 14-year-old female is brought to the urgent care by her mother,
who states that the girl has had an abnormal number of bruises
and “funny looking red splotches” on her legs. These bruises were
first noticed about 2 weeks ago and are not related to trauma.
PMH not remarkable and she takes no medications. The mother
does state the girl is recovering from a “bad case of mono” and
was on bedrest at home for the past 3 weeks. The girl noticed that
her gums were slightly bleeding when she brushed her teeth that
morning.
Labs at urgent care demonstrated normal hgb and hct with
normal WBC differential. Platelet count of 100,000/mm3 was the
only abnormal finding. The staff also noticed that the venipuncture
site oozed for a few minutes after pressure was released. The
doctor at urgent care referred the patient and her mother to the
ED for a complete work-up of the low platelet count, including a
peripheral blood smear for suspected immune thrombocytopenia
purpura.
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