What is shown in the picture ?How would you examine this patient ?
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2 comments:
It is a petechial rash. Look for any neurological signs.
Why neurological signs ?? Are you thinking of TTP ?
Yes, this patient has Petechial rash. You may get this in Station 5 and if you concentrate on neurology....then you are going the wrong direction.
I would say at least 80% of the time, it is abdomen which you need to tackle.
So proceed by
1) Checking the eyes for jaundice/pallor
2) check oral cavity for tonsils and oral thrush/ulcers
3) Check the abdomen for hepatosplanomegaly
4)Check for lymphoadenopathy
5) Check temperature for evidence of infection
6) Check for any transfusion nearby
You are most likely dealing with a platelet disorder, most of the time thrombocytopenia.
This patient has myelodysplatic syndrome with a platelet count of 10
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