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A 32-year-old G1P0 came for a routine OB visit at 14 weeks gestational age...

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asked Jul 6, 2014 in Ob/Gyn by Rajesh Bahara

A 32-year-old G1P0 reports to your office for a routine OB visit at 14 weeks gestational age. Labs drawn at her first prenatal visit 4 weeks ago reveal a platelet count of 60,000. All her other labs were within normal lim- its. During the present visit, the patient has a blood pressure of 120/70. Her urine dip reveals the presence of trace protein. The patient denies any com- plaints. The only medication she is currently taking is a prenatal vitamin. On taking a more in-depth history you learn that, prior to pregnancy, your patient had a history of occasional nose and gum bleeds, but no serious bleeding episodes. She has considered herself to be a person who just bruises easily.

 

1. What is this patient’s most likely diagnosis?

  1. Alloimmune thrombocytopenia

  2. Gestational thrombocytopenia

  3. Immune thrombocytopenic purpura

  4. HELLP syndrome

  5. Pregnancy-induced hypertension

 

2. What medical treatment would you recommend to treat the throm- bocytopenia?

  1. No treatment is necessary

  2. Stop prenatal vitamins

  3. Oral corticosteroid therapy

  4. Intravenous immune globulin

  5. Splenectomy 

 

1 Answer

0 votes
 
Best answer
1. c. Immune thrombocytopenic purpura
2. a. No treatment is necessary
answered Jul 6, 2014 by Rajesh Bahara

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