study_ing
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- petechiae
- h o viral infection
- LARGE platelets on smear
- child
what is it?
is splenomagaly a feature or not?
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| study_ing
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forgot to mention, PT and APTT are normal 
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| Mars-Aris
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i think that the child has ITP from the Hx of viral infection.
large platelets = younger PLT's from bone marrow from increased production
No splenomegaly
Edited by Mars-Aris on 09/22/06 - 06:54 AM
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| sunny2
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ITP
In most of the cases there is No splenomegaly, that is what I have learnt...they say that if there is splenomegaly you can exclude the diagnosis of ITP but according to recent publications however Splenomegaly is reported in about 10% of children with ITP, Its presence in a child with thrombocytopenia usually suggests a more serious underlying disease such as leukemia or Iron deficiency.
Study_ing, I am sure of this fact but do not have evidence to prove it, I do not want to dwell into what i know because the exams are fast approching....but if you too can supprt this fact then we can move ahead
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| sunny2
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for exams I guess ITP no splenomegaly...what do u think 
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| study_ing
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well the diagnosi is scorrect. i got confused about the splenomegaly. me to t it should be absent but i di a q in which it waas mentioned.
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