Upload
ans-fitri
View
213
Download
0
Embed Size (px)
Citation preview
7/29/2019 NitaITP
1/30
I Saw Red
Morning Report
March 6, 2006Nita Mohanty
7/29/2019 NitaITP
2/30
History: 3 yo Male with
PERTINENT POSITIVES
URI sx x 1 week
Hematuria Rash: Bruising
Epistaxis
Sore Throat
Sick Contacts: Mom w/ StrepThroat, Dad and Sister w/Scarlet fever school contact
Finger pain x 2 days
OTC meds: Decongestant x 1wk
PERTINENT NEGATIVES
Abdominal Pain
Joint Pain Headache
Weight Loss
Diarrhea or Emesis
Extremity or Periorbitalswelling
Travel
Drug Exposure
Trauma
No easy bruisability, bleedinggums
7/29/2019 NitaITP
3/30
Physical Exam
Vitals: T: 36.9 HR: 123 RR: 16 BP: 101/54 98% RA
Gen: sitting up, smiling, coloring, NAD
HEENT: crusted blood at L nares, + palatal petechiae,+erythematous post. pharynx w/ mild tonsillar exudates
small papule noted at L nostril, no conjunctival or retinalhemorrhage
Lymph: nontender, submand LAD app. 1.5 cm bilaterally, noaxillary or inguinal LAD
CV: RRR, No murmur
Chest: CTA, no W/R/R
7/29/2019 NitaITP
4/30
7/29/2019 NitaITP
5/30
Labs and Imaging
CBC: WBC: 13.2 Hgb: 10.2 Hct: 28.6 Plts:3
Retic: 1.7% N61 B28 M6 E4 B1
BMP: Na: 140 K: 3.6 Chl: 100 CO2: 28 BUN: 17 Cr: 0.3
LFTs: TP: 7.6 Alb: 4.3 Bili: 0.3 SGOT: 32 SGPT: 18 PT: 13.3 INR: 1.0
UA: Sp.G: 1.024, 4+ Blood, 1+ Protein, RBCs > 20 per
HPF CXR: Normal Chest, no mediastinal masses
7/29/2019 NitaITP
6/30
Our Diagnosis Is..
http://www.decodeunicode.org/data/glyph/196x196/002B.gifhttp://www.campmackinaw.com/Teepee.jpghttp://www.kepplah.com/stuff/eye.jpg7/29/2019 NitaITP
7/30
Idiopathic ThrombocytopenicPurpura
Morning Report
March 6, 2006Nita Mohanty
7/29/2019 NitaITP
8/30
Background and Epidemiology
Acquired Hemorrhagic Disorder with: Thrombocytopenia: Platelet count