Reference no: EM133847201

Question

Eight-year-old Elise arrives at the clinic with severe epistaxis. On examination, a generalized purple petechial rash and hemorrhage bullae on her gums and lips are detected. She and her parents cannot recall any recent injuries, and the epistaxis began spontaneously that morning. Her only recent health issue was an upper respiratory infection 2 weeks ago. Her blood analyses indicate thrombocytopenia, and the few platelets are large. The Ivy bleeding time is prolonged, and bone marrow aspiration demonstrates increased megakaryocytes and normal erythrocytes and granulocytes. Her hemoglobin and hematocrit are in the low normal range.

1. Provide your list of differential diagnoses after studying the case study. Share your clinical reasoning for your choices using research and literature support.

2. What diagnosis would you finally choose from your list of diagnoses? Describe the pathophysiology behind the disorder. What causes it? Share your clinical reasoning for your choice using research and literature support.

3. Describe this child's short and long term prognosis.

4. What teaching would you provide to this family?

5. Develop a plan of care based upon your recommendations living arrangements and social supports. Include any patient education about care over the lifespan.