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Posted: August 1st, 2022
A 14-year-old female is brought to the urgent care
Case Examine Assessment
A 14-year-old female is brought to the urgent care by her mom, who states that the lady has had an irregular variety of bruises and “humorous trying pink splotches” on her legs. These bruises had been first observed about 2 weeks in the past and will not be associated to trauma. PMH not outstanding and he or she takes no medicines. The mom does state the lady is recovering from a “unhealthy case of mono” and was on bedrest at dwelling for the previous three weeks. The lady observed that her gums had been barely bleeding when she brushed her tooth that morning. Her PMH is not noteworthy, and he or she doesn’t use any medicine. The lady’s mom does point out that she is now recovering from a “extreme case of mono” and has been confined to mattress for the earlier three weeks at their home. When the younger girl brushed her tooth earlier that day, she noticed that her gums had a little or no quantity of bleeding.
Labs at urgent care demonstrated regular hgb and hct with regular WBC differential. Platelet rely of 100,000/mm3 was the solely irregular discovering. The employees additionally observed that the venipuncture web site oozed for a couple of minutes after strain was launched. The physician at urgent care referred the affected person and her mom to the ED for an entire work-up of the low platelet rely, together with a peripheral blood smear for suspected immune thrombocytopenia purpura [ITP].
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