|
Answer
Observation
with regular blood counts.
It
seems that the underlying cause for bleeding is (ITP) idiopathic thrombocytopenic
purpura, since the condition is preceded by URTI and no other abnormal
clinical findings. The FBC is within normal limit apart from mild thrombocytopenia,
the clotting screen is normal so this excludes the coagulopathy as a cause
for bleeding. So observation is the correct action because ITP is a self
limiting condition and we have to interfere in special occasions when
there is life threatening bleeding or when the platelet count is severely
depleted i.e. below 20000/mm3.
You
have completed this case.
Click Next
to return to the case menu
and
don't forget to fill in your Evaluation Form.
|
