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🌱來自: snippets
Thrombocytopenia, eitology to be determined, suspected ITP
- family history:
___no family history of thrombocytopenia - bleeding s/s:
- petechiae or ecchymosis,
- gum bleeding,
- epistaxis,
- life-threatening hemorrhage
- duration of symptoms, presence of any prodromal illness, causative medication, or underlying disease:
___
- failure of production:
- Survey for drugs and chemoicals,
- viral infection, radiation history, HIV
- aplastic anemia,
- leukemia,
- marrow infiltration,
- megaloblastic anemia,
- increased consumption: survey for ITP, drugs, DIC, infection, massive hemorrhage and transfusion, SLE, indolent lymphoma, heparin, TTP, hypersplenism, post-transfusion purpura, and HIV
- 2020/3~4 medication hx: Doxazosin (Mesylate) Mecobalamin
Plan
- Confirm with PB smear for platelete aggregation to rule out psuedothrombocytopenia.
- Do coagulation screen and BM exaionation.
- Avoid aspirin.
- Return to UCU if any bleeding s/s for transfusion if needed