]> 2026-07-31T09:41:31+00:00 WBR0962 0 en I.V platelet transfusion ''' Incorrect ''' : Platelet transfusion is not normally recommended and is usually unsuccessful in raising a patient's platelet count. This is because the underlying autoimmune mechanism that destroyed the patient's platelets to begin with will also destroy donor platelets. An exception to this rule is when a patient is bleeding profusely, when transfusion of platelets can quickly form a platelet plug to stop bleeding, a life-threatening hemorrhage. Intravenous immunoglobulin administration, with the platelet transfusion, may improve their survival. I.V immunoglobulin ''' Incorrect ''' : The platelet count can be temporarily supported by the use of intravenous immune globulin (IVIG) or by anti-Rh(D) (Rho(D) immune globulin, anti-D, WinRho) in patients whose red cells are Rh(D) positive and who have not had a splenectomy. Both of these agents increase the platelet count in most patients with ITP, including patients who have not responded to corticosteroids, within several days, with an effect that may last for several weeks Splenectomy Observation and follow-up ''' Correct ''' : Avoid unnecessary treatment of asymptomatic patients with mild to moderate thrombocytopenia (ie, a platelet count greater than 30,000/microL). I.V glucocorticoids Primary Care Office A 24 year old male comes to your office for regular health check up as he is joining a new job. He has no symptoms and his past history is insignificant. His family history is positive for hypertension in both his parents. He is sexually active and uses contraception. His vitals are temperature: 36.7 C, blood pressure: 120/80 mmHg, pulse: 90/min and respirations: 15/min. All system examinations are normal. His laboratory values are as follows : Blood glucose : 98 g/dl Hb : 13 g/dl RBC’s : 2.5 million/cmm WBC’s : 6000/cmm Platelets : 35,000/cmm Neutrophils : 60 % Lymphocytes : 32 % MCV : 85 fl ESR : 15mm/hr PT : 13 sec (N 11-15 sec) APTT : 30 sec (N 25-40 sec) BT : 9 min (N 2-7 min) Serum creatinine : 1.2 mg/dl Serum calcium : 9 g/dl Which of the following is the best next step in the management of this patient? D Hematology 2020-10-28T02:12:16Z 2459150.5918519 WBR0962