@jamine - cardio69

[ArchivalUser]

A 14 y/o M presents to you with a deep skin abrasion on his knee. He states that it has not stopped bleeding since it happened during recess ~ 20/30 min ago. On PE you note well developed/nourished adolescent. There are multiple purpura over his legs and arms, and a few scattered petechiae on his chest & gums.
Pat
Hgb: 11g/dL
BT: 22 mins
Platelets: 290,000/mm3
A trial of cryoprecipitate transfusion does not improve pat BT. A normal platelet transfusion does improve BT.

Dx ?

a) BS syndrome
b) HSP
c) ITP
d) TTP
e) vW disease

[ArchivalUser]

Hello @cardio69,
thanks a lot for the explanation. On this I'ld say AA.
C/D ruled out with the normal platelet count, vW ruled out with no improvement with cryo, and in HSP, i'ld expect some abd pain, arthralgia. Please correct me if I'm wrong

Indeed good to answer your Qs, gets one thinking well. Thank you

[ArchivalUser]

Hello,
Well done
Glad I could help.