Hematology

Question 1

ITP

Answer 1

Platelets >30 and asymptotic or minor purpura: do not require treatment

Platelets <20 and significant mucous membrane bleeding
Or platelets <10 and minor purpura: should be treated
-IVIG or oral prednisone
-IV anti-D (if Rh positive)
-Splenectomy (life threatening bleeding)
-Platelet transfusion (controls severe hemorrhage)
-Avoid aspirin/NSAID
-No contact sports

Question 2

Von Willebrand factor deficiency

Answer 2

Desmopressin, cryoprecipitate or factor VIII concentrate

Question 3

Polycythemia

Answer 3

Hematocrit 65-69% + asymptotic = observe

Hematocrit >70% = partial exchange transfusion