mjl1717
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what is the best initial treatment and the optimal treatment for idiopathic thrombocytopenia purpura..?
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| dratish
Forum Newbie
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initial Rx - prednisolone
Definitive Rx - Splenectomy
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| cirus
Forum Guru
Topics: 108
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the best ttt is according to the Plat count
first line----> prednisone
if plat count 20000 - 10000---->spleenectomy is the ans
if plat count is < 10000---> IV Igs + RhOGam
Very good prog
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| young_doc
Forum Guru
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U might also want to consider giving Platelets if Platelet count is <20,000, or if there is active bleeding.
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| tanmaynator
Forum Senior
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hey about this.. when do you start the patient on steroids?? i read somewhere that it is started only after platelet counts are below 30,000.. it was in a question bank.. the patient had a platelet count of 60,000 and i picked steroids as answer and it said no.. correct answer observation and explained that steroids should not be given until pt ct less than 30,000.. can someone tell me is this true??
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| mjl1717
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Topics: 960
Posts: 5,468
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WOW!! You guys knocked that one out!! Great!! [thats what Im talking about]
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