Concerns about excessive bleeding

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Reference no: EM133746912

Question

Justine is a 15-year-old adolescent who has concerns about excessive bleeding with her last menstrual period. She has noticed recently that she bruises easily and bleeds readily, particularly her gums while brushing her teeth. She also has had nosebleeds recently. She comes into your clinic for examination. You note nonpalpable petechiae of her legs and arms, purpura, and gingival bleeding. Her platelet count is less than 20,000/mm3. She is diagnosed with idiopathic thrombocytopenic purpura. What is the mechanism of injury of ITP? Besides those signs presented in the case study, what other clinical manifestations would be present for ITP? What changes would you expect to find on a peripheral smear? Are coagulations studies useful? Why or why not? What would be your treatment plan?

Reference no: EM133746912

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