A 7-year-old boy presents with a non-blanching purpuric rash and abdominal pain. He appears well and is afebrile. You are concerned about Henoch-Schonlein purpura.
His abdomen is soft and non-tender. Urine dipstick shows microscopic haematuria. FBE is normal and UEC results are shown below.
| Observation |
Result |
| Na |
140 mmol/L (135-145) |
| K |
4.2 mmol/L (3.5-5) |
| Bicarbonate |
22 mmol/L (22-28) |
| Urea |
8 mmol/L (3-8) |
| Creatinine |
108 micromol/L (50-100) |
List two (2) other features of the typical Henoch-Schonlein purpura rash.
(Marked out of 2.0)
/ 2
List four (4) other examination findings that may be associated with HSP and are important when deciding treatment.
(Marked out of 4.0)
/ 4
State and explain one (1) FBE feature that would exclude HSP.
(Marked out of 1.0)
/ 1
State five (5) important and specific elements of treatment and follow-up required for this patient.
(Marked out of 5.0)
/ 5
Total Score: 0 / 12
Percentage: 0%
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