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Skip to main page content home current issue international earchives collections eletters aap policy contact us advertising disclaimer article thrombocytopenia during childhood: what the pediatrician needs to know george r. Buchanan , md * *professor of pediatrics, director of pediatric hematology-oncology, the university of texas southwestern medical center at dallas and children’s medical center, dallas, tex alps: autoimmune lymphoproliferative syndrome cbc: complete blood count dic: disseminated intravascular coagulation hpa: human platelet antigen ich: intracranial hemorrhage itp: idiopathic thrombocytopenic purpura ivig: intravenous immune globulin mcv: mean corpuscular volume mpv: mean platelet volume nait: neonatal alloimmune thrombocytopenia pt: prothombin time ptt: partial thromboplastin time ttp: thrombotic thrombocytopenic purpura wbc: white blood cell objectives after completing this article, readers should be able to: describe the number, function, and life span of platelets. Define the mechanisms of thrombocytopenia and the relative bleeding risk at any given platelet count. generic viagra canada Provide a differential diagnosis of neonatal thrombocytopenia and describe the clinical presentation and management of the most common forms. generic viagra without prescription Describe the usual presentation and laboratory tests in the child who has acute idiopathic thrombocytopenic purpura, review the treatments, and know the usual prognosis. buy viagra daily use List the differential diagnosis of children who have chronic thrombocytopenia and methods of differentiating the various causes. viagra without a prescription canada Introduction and case history thrombocytopenia is defined as a platelet count less than 150ã—103/mcl (150ã—109/l), irrespective of the patient’s age. Thrombocytopenia is encountered commonly by pediatricians. cheap viagra online Therefore, a review of the pathophysiology, differential diagnosis, and management of thrombocytopenia is in order. A 4-year-old boy who is recovering from a minor respiratory infection suddenly develops petechiae and bruises on his trunk and extremities. Two days later, after a transient nosebleed, he is brought to his physician’s office. His past medical history and family history are unremarkable. Findings on his physical examination are normal except for scattered crops of petechiae and multiple bruises. viagra copyright expiration There is no active bleeding from the nose or other sites. A complete blood count (cbc) shows a hemoglobin of 12. darlene vogel viagra commercial 7 g/dl (127 g/l), a white blood cell (wbc) count of 8ã—10 3 /mcl (8ã—10 9 /l), a normal differential count, and platelet count of 6ã—10 3 /mcl (6ã—10 9 /l). viagra for sale The diagnosis of idiopathic thrombocytopenic purpura (itp) is suspected. viagra pills Platelet number and function in health and disease platelets are tiny acellular fragments produced in the bone marrow by polyploid cells called megakaryocytes. Platelets are about one fifth the diameter of erythrocytes, and their volume is 7 to 9 fl. They survive in the body for 9 to 10 days..
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