Presentation
Snapshot A 42-year-old man presents to his primary care physician's office for easy bruising and gingival bleeding. He reports his symptoms began one day prior to presentation and has never occurred before. [medbullets.com]
In this installment, we present the case... [ascopost.com]
A monitoring plan for the early detection of ITP, implemented after presentation of the index case, identified all 5 subsequent cases before serious hemorrhagic morbidity or mortality occurred. [ncbi.nlm.nih.gov]
[…] myeloma presents to the emergency department with acute substernal chest pain and shortness of breath for 1 hour. [acc.org]
When bruising is present in a child who has isolated thrombocytopenia, the diagnosis of ITP may be straightforward. [mdedge.com]
Immune System
- Palpable Spleen
spleen Studies Making the diagnosis primary ITP isolated thrombocytopenia ( e.g., < 100,000/μL) without a known cause secondary ITP isolated thrombocytopenia ( e.g., < 100,000/μL) with an underlying condition ( e.g., positive for HIV infection) Differential [medbullets.com]
Respiratoric
- Rales
Blood pressure: 180/100mmHg, tachypnoea, no fever, jugular vein engorgement or cyanosis, with a heart rate of 90 beats per minute, with systolic ejection murmur II/VI, without ectopic beats or pericardial rubs, bronchospasms without crepitant rales, no [revistanefrologia.com]
Cardiovascular
- Ejection Murmur
Blood pressure: 180/100mmHg, tachypnoea, no fever, jugular vein engorgement or cyanosis, with a heart rate of 90 beats per minute, with systolic ejection murmur II/VI, without ectopic beats or pericardial rubs, bronchospasms without crepitant rales, no [revistanefrologia.com]
- Cyanosis
Blood pressure: 180/100mmHg, tachypnoea, no fever, jugular vein engorgement or cyanosis, with a heart rate of 90 beats per minute, with systolic ejection murmur II/VI, without ectopic beats or pericardial rubs, bronchospasms without crepitant rales, no [revistanefrologia.com]
Eyes
- Prolapse
April 24, 2019 25 Natural Home Remedies For Abortion - April 22, 2019 Yellow Discharge During Pregnancy: Causes, Treatment And Prevention - April 18, 2019 Cord Prolapse: Causes, Diagnosis And Management - April 12, 2019 Vaginal Pain During Pregnancy [momjunction.com]
Workup
Other laboratory tests should be obtained based on the initial workup and history. [clinicaladvisor.com]
Figure 1 shows our algorithm for workup of thrombocytopenia based on the observation of the peripheral blood film. [bloodjournal.org]
See Workup. Treatment of HIT begins with discontinuation of all heparin products (including heparin flushes of intravenous catheters). The patient should then be started on an alternative anticoagulant. See Treatment and Medication. [emedicine.medscape.com]
Treatment
Treatment For Low Platelet Count During Pregnancy The treatment depends on the severity of the condition and focuses on addressing the cause. Mild cases do not need any medical treatment but need regular monitoring. [momjunction.com]
When treatment is needed, the two most common forms of treatment are steroids and immune globulin: Corticos teroids. Brief treatment with steroid medication helps prevent bleeding by decreasing platelet destruction. [stanfordchildrens.org]
[…] second-line treatment for patients with refractory ITP Complications Fatal hemorrhage Please rate topic. [medbullets.com]
Once-daily treatment with lusutrombopag 3 mg or placebo is to commence on Day 1 and continue for up to 7 days. [clinicaltrials.gov]
Prognosis
Overall, prevention of serious bleeding, such as head injuries, is the most significant factor in prognosis. Providing a safe environment, prompt medical attention, and continued medical care are all necessary for a long-term, healthy prognosis. [stanfordchildrens.org]
A more than 30% drop in PC should probably be considered to be associated with a poor prognosis (weak agreement). 5. [annalsofintensivecare.springeropen.com]
Treatment and Prognosis Treatment Women, diagnosed with gestational thrombocytopenia, will have their complete blood test conducted during each pre-natal visit and monitored by the doctor. [7] Having diagnosed gestational thrombocytopenia, women should [ipfs.io]
Prognosis HIT-II is a potentially very serious condition. [myvmc.com]
Long-term outlook for a child with ITP Although there is no known cause of ITP and there is no cure, the prognosis for a child with ITP is very good. [childrensnational.org]
Etiology
The clinical context should suggest the etiology of thrombocytopenia in most cases in intensive care (strong agreement). 10. [annalsofintensivecare.springeropen.com]
Common Etiologies of Thrombocytopenia with Clinical Findings and Suggested Treatment Etiology Severity Clinical presentation Evaluation Treatment Comments Bone marrow suppression by irradiation, chemotherapy, or neoplasia Moderate to severe History of [aafp.org]
Large platelets may raise suspicion for a destructive etiology. Similarly, schistocytes are associated with a microangiopathic process such as TTP/HUS or DIC. [clinicaladvisor.com]
[…] thrombocytopenia (ITP) immune-mediated thrombocytopenia without an underlying condition secondary ITP immune-mediated thrombocytopenia with an underlying condition ( e.g., HIV infection) Epidemiology demographics 1-7 years of age commonly in children Etiology [medbullets.com]
Epidemiology
[…] destruction of otherwise normal platelets Classification primary immune thrombocytopenia (ITP) immune-mediated thrombocytopenia without an underlying condition secondary ITP immune-mediated thrombocytopenia with an underlying condition ( e.g., HIV infection) Epidemiology [medbullets.com]
Epidemiologic and clinical characteristics of severe fever with thrombocytopenia syndrome in the Republic of Korea. Public Health Weekly Report, KCDC. 2014 ; 7 : 493 – 8. [wwwnc.cdc.gov]
Field 1: Definition – epidemiology – prognosis 1. Thrombocytopenia is defined by a platelet count (PC) < 150 × 10 9 /L (strong agreement). 2. [annalsofintensivecare.springeropen.com]
Chronic immune thrombocytopenia in adults: epidemiology and clinical presentation. Hematol Oncol Clin North Am. 2009;23(6):1213-21. Cines DB, Liebman HA. [rarediseases.org]
Epidemiology of critical care syndromes, organ failures, and life-support interventions in a suburban US community. Chest. 2011;140:1447–55. 6. Fakhouri F, Zuber J, Fremeaux-Bacchi V, Loirat C. Haemolytic uraemic syndrome. [ccforum.biomedcentral.com]
Pathophysiology
This book provides a concise yet comprehensive summary of the current state of knowledge concerning the pathophysiology, differential diagnosis and treatment options that support day-to-day patient management. [books.google.com]
This review discusses the pathophysiology of ITP and how the different treatment modalities affect the pathogenic mechanisms. [mdpi.com]
Figure 1 illustrates the pathophysiology of HIT. Figure 1 Pathophysiology of heparin induced thrombocytopenia. Clinical features and diagnosis The onset of heparin-induced thrombocytopenia may be rapid or delayed. [thrombosisjournal.biomedcentral.com]
Platelet kinetic studies have been performed to determine the pathophysiologic mechanisms in various thrombocytopenic states, particularly in complicated clinical situations. [accessmedicine.mhmedical.com]
Prevention
Some patients may require a platelet transfusion to prevent acute bleeding or in preparation for surgery. Preventing bleeding The parents of a child with the disorder need to be aware of how to prevent injuries and bleeding. [stanfordchildrens.org]
Policy statement recommendations for the prevention of pneumococcal infections, including the use of pneumococcal conjugate vaccine (Prevnar), pneumococcal polysaccharide vaccine, and antibiotic prophylaxis. Pediatrics. 2000;! 06:362-366. 3. [books.google.com]
Can thrombocytopenia (low platelet count) be prevented? Thrombocytopenia may be preventable only if its underlying cause is known and preventable. For example, in patients with alcohol-induced thrombocytopenia, alcohol avoidance is recommended. [emedicinehealth.com]
There is no known information regarding the prevention of this disorder. [ipfs.io]