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28th May 2025
A 35-year-old makes an appointment to see his General Practitioner due to a few weeks’ history of easy bruising, bleeding gums when brushing his teeth and a petechial rash.
A 35-year-old makes an appointment to see his General Practitioner due to a few weeks’ history of easy bruising, bleeding gums when brushing his teeth and a petechial rash. Examination is unremarkable, his BP is 132/79 and HR is 78.
Blood tests are performed:
| Hb | 136 g/L | Males: (135 – 175 g/L) |
| Platelets | 27 x 10⁹/L | (150 – 400 x 10⁹/L) |
| WCC | 7 x 10⁹/L | (4 – 11 x 10⁹/L) |
| Na+ | 136 mmol/L | (135 – 145 mmol/L) |
| K+ | 4.7 mmol/L | (3.5 – 5.0 mmol/L) |
| Urea | 3.7 mmol/L | (2.5 – 6.5 mmol/L) |
| Creatinine | 75 μmol/L | (50 – 120 μmol/L) |
| CRP | 2 mg/L | (0 – 10 mg/L) |
| Blood film | Thrombocytopenia. Normal appearance of platelets, neutrophils and RBCs | |
Which of the following is the most appropriate initial treatment?
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