Which of the following clusters of symptoms would lead you to suspect a child has idiopathic thrombocytopenic purpura (ITP)?
A) Multiple infections; bruising; abnormal bone marrow aspiration
B) Lower extremity that is warm to touch, edematous, and painful
C) Spontaneous nosebleeds; bruising; petechiae
D) Increased platelet count; recent-onset venous thrombosis

Question

Quizplus · Accepted Answer

Spontaneous nosebleeds, bruising, and petechiae are common symptoms of ITP. Multiple infections and abnormal bone marrow aspiration are not specific to ITP. A warm, edematous, and painful lower extremity would suggest deep vein thrombosis, not ITP. Increased platelet count and recent-onset venous thrombosis suggest a hypercoagulable state, which is not typical of ITP.

Which of the Following Clusters of Symptoms Would Lead You