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Posted: August 1st, 2022

A 14-year-old female is brought to the urgent care

Case Study Analysis

A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning. Her PMH is not noteworthy, and she does not use any drugs. The girl’s mother does mention that she is now recovering from a “severe case of mono” and has been confined to bed for the previous three weeks at their house. When the young lady brushed her teeth earlier that day, she observed that her gums had a very little amount of bleeding.

Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura [ITP].

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