Question

Mark is a 35-year-old male who had a cold virus for 14 days. He reported having cough, sore throat, and fatigue. He also  presented that cold and  fatigued persistent for the past 3 weeks. Mark stated that he has been bruising easily lately.  He also stated that he noted little purple spots all over his arms and chest. During assessment nurse noted a large bruise on his right arm, petechiae and purpura over his  chest and arms.  Lab result shows platelet count of 40,000mm3.

1. A patient diagnosed with idiopathic thrombocytopenic purpura (ITP). what it is and who can get it.
2. write on four mechanisms of thrombocytopenia.
3. Which s/s would you expect to see in a patient with this diagnosis, and the name of the  tests to confirm the diagnosis?

Answer 1

The signs and symptoms of ITP are,

• Purpura- the purple color skin after blood has leaked under it
• Petechia- Tiny red dots under the skin
• Nose bleeds
• Bleeding in the mouth
• Blood in the vomits,urine and stool
• Bleeding in the head- This is the most dangerous symptom of ITP

The diagnostic measures are,

• Complete blood count
• Additional blood and urine test
• Careful review of medications
• Bone marrow aspiration- this will examine the platlet production.

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