A junior registrar is assessing a 46-year-old woman with fever, altered mental state, and no clear infectious source. She has received empiric IV flucloxacillin and gentamicin. Her FBC shows Hb 108 g/L, WCC 6.5, and platelets 43.
In ideal circumstances, below what platelet count would you transfuse for lumbar puncture, central venous catheter insertion, and an asymptomatic patient?
(Marked out of 1.5)
| Indication |
Platelet threshold |
| Lumbar puncture, afebrile |
|
| Central venous catheter |
|
| Asymptomatic patient |
|
/ 1.5
List the five (5) features of TTP.
(Marked out of 2.5)
/ 2.5
Discuss treatment options for TTP.
(Marked out of 3.0)
/ 3
Complete the comparison table for TTP, DIC, and ITP.
(Marked out of 6.0)
| Feature |
TTP |
DIC |
ITP |
| Platelet count |
|
|
|
| INR/PT |
|
|
|
| Microangiopathic haemolytic anaemia |
|
|
|
| Fibrinogen |
|
|
|
| Safe to give platelets |
|
|
|
/ 6
Total Score: 0 / 13
Percentage: 0%
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