Why is the answer observation and not corticosteroids? In adult ITP shouldn’t we give corticosteroids?
Platelet count more than 30k …hence observation
When platelet count <20-30k , we give corticosteroid.
When platelet <50k + minor bleeding, give corticosteroid.
Giving benefit of doubt …acute itp mite resolve too…second counts above 30k
sir, so we only initiate corticosteroids if plt count is <30k?
Or we have to b 100 percent sure its chronic ITP
The management of choice for ITP is WAIT and WATCH as 90% cases subside by themselves without any treatment and without any complications in 3-6 months.
U can try some treatment modalities like Corticosteroids, IVIG, Anti D and other things but they do not offer much benefit in terms of difference of outcome
When the TPC drops below 20,000 or there is severe clinical bleeding like Intra cranial haemorrhage or Severe Mucosal Bleeding or any internal organ bleeding, in those cases u need a multi disciplinary approach which may include - Platetlet transfusion, surgical intervention, corticosteroids etc
Since comment has been turned off on your most recent post, I’m just gonna reply you here.
Please see the question clearly. It is the THIRD EPISODE of diarrhoea.
So FMT should be treatment.
CONSERVATIVE
OBSERVATION
indication : in patient’s with a platelet count > 30,000 and no bleeding
MEDICAL
- CORTICOSTEROIDS
indication : initial treatment for patient’s with a platelet count < 30,000
- INTRAVENOUS IMMUNOGLOBULINS ( IVIG)
indication : for patient’s with a platelet count < 30,000 who have contraindications to corticosteroids, are refractory to corticosteroid treatment, or are bleeding or have a high risk of bleeding that will need a rapid increase in platelet count
OPERATIVE
SPLENECTOMY
indication : second-line treatment for patient’s with refractory ITP