Ancylostoma
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Following a viral illness, a previously healthy 3-year-old child develops multiple petechiae and purpura, and is noted to be oozing blood from
the mouth. Prothrombin and activated partial thromboplastin times are within normal limits. Review of a peripheral smear demonstrates that platelet counts are markedly decreased, but all the platelets that are present appear morphologically normaI. The remainder of the blood smear and additional bone marrow studies are normal.
Which of the following is the most likely diagnosis?
/ A. Disseminated intravascular coagulation
/ B. Hemophilia A
/ C. Thrombotic thrombocytopenic purpura
/ D. Idiopathic thrombocytopenic purpura
/ E. Hemolytic uremic syndrome
remember to explain. As an add on tell me what the treatment would be.
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| new_n_lost
Politically InCorrect
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its ITP
Cos the Platelets get only effected in it an its a presentation after Viral illness. Isolated thrombocytopenia is a key finding in these pts.
Treatment :
depends largely platelets count but in children as rule In US they do give Intravenous immunoglobulin G IgG if the count is less than 20,000 and administer platelets when the count is 10,000
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| epica
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Ancylostoma.
Are u doing new Kaplan Qbank online or old.?I have 2006 and whant to ask u if they aded more new Q in 2007.
Thanks
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| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
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old, I heard they only add about 100 q per year or something. I wouldnt know when, you have 2006 . Just stick with it unless you have limitless money, check out the other easy q I posted in the path forum
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| darkhorse
Forum Elite
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Posts: 275
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dddddd
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When going gets tough, the tough gets going
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| Ancylostoma
Forum Guru
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Like I said these questions were too easy...Good going !!!
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| babydoc4usmle
Forum Guru
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Posts: 634
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ITP is very common in kids, espetially after infection
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