The case starts just below here! – click https://teamhaem.wordpress.com/2013/06/16/case-11/
Further blood tests reveal normal B12 and folate. Ferritin is low at 9ug/L. Clotting screen is normal. There are no signs of major bleeding.
HIV, hepatitis B/C and an autoimmune screen have been sent. The patient is reluctant to provide a stool sample for Helicobacter Pylori.
The current working diagnosis is immune thrombocytopenic purpura (ITP) with iron deficiency.
- Any further tests? Do you perform a bone marrow?
- What is your management now?
- Do you discharge the patient home?
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