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Tuesday, August 30, 2016

Immune Thrombocytopenic Purpura

emDocs - August 28, 2016 - Authors: Patrick C and Long B - Edited by: Robertson J and Koyfman A
"Summary
  • ITP can present with severe, life threatening bleeding including, but not limited to, intracranial hemorrhage.
  • Physical examination should focus on signs of bleeding intracranially, intra-abdominally, in the skin, and from the mucosa.
  • Initial workup includes CBC, WBC morphology, and peripheral smear.
  • Initial management of steroids and admission should be considered depending on the clinical presentation.
  • There are atypical presentations of ITP such as hemarthrosis that the EP should consider.
  • Emergency physicians should maintain a broad differential, as subtle abnormalities in the workup other than low platelets can suggest alternative diagnoses such as malignancy."