Tish qustneio si ytualcal a olt redpee atnh ti olsk.o tI is tno boatu w"enh do you arett iet,cyhora"bponotm hcwih oyu OD etrat ewhn hyet ehva nilebgde eilk in teh .nquseoit iThs tneouisq is tobua gmeaaentnm fo ALL ihchw sha piesccif edsgunei.li icgAonrdc to odtueat,p as olgn as letptlea elvles ear otbau 00200, in L,LA yuo rae ogdo ot og for a oneb sboi.py
deathbystep1well the question said "his gums started bleeding when he brushed his teeth". So wouldn't that be considered active bleeding? I was aware about the aafp guidelines as there was a similar question in Uworld as well. The only reason i chose platelet transfusion was because he was "actively" bleeding from the gums. Otherwise it was clear that he had pancytopenia and you need to do a bone marrow biopsy. +
zalzale96Isn't bone marrow aspiration considered an invasive procedure and thus we should transfuse since his platelets level is below 50k?+
osler_weber_renduAcc to UW, in children transfuse ivig, steroids, anti D only if child has more than mucocutaneous bleeds. In adults it is done if the count is below 30k irrespective. +
submitted by study_dude_guy(14)
$229$199/month)Tish qustneio si ytualcal a olt redpee atnh ti olsk.o tI is tno boatu w"enh do you arett iet,cyhora"bponotm hcwih oyu OD etrat ewhn hyet ehva nilebgde eilk in teh .nquseoit iThs tneouisq is tobua gmeaaentnm fo ALL ihchw sha piesccif edsgunei.li icgAonrdc to odtueat,p as olgn as letptlea elvles ear otbau 00200, in L,LA yuo rae ogdo ot og for a oneb sboi.py