Question

A 15-year-old girl presents with heavy menstrual bleeding and bruising. Platelet count is 18 ×10⁹/L. She has no splenomegaly and normal haemoglobin. The most likely diagnosis is immune thrombocytopenia (ITP). She is haemodynamically stable. What is the most appropriate initial treatment?

Accepted Answer

High-dose oral prednisone or IVIG

Answer

Observation only

Answer

Platelet transfusion only

Answer

Warfarin therapy

Answer

Aspirin to prevent thrombosis

Practice question

A 15-year-old girl presents with heavy menstrual bleeding and bruising. Platelet count is 18 ×10⁹/L. She has no splenomegaly and normal haemoglobin. The most likely diagnosis is immune thrombocytopenia (ITP). She is haemodynamically stable. What is the most appropriate initial treatment?