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admin 1 min read Nursing

[Solved]: A four-year-old Caucasian boy was brought in to see…

A four-year-old Caucasian boy was brought in to see his physician for multiple bruises that the mother had noticed during the past two days. The mother denies any abuse or falls. Patient history revealed that the child had a cold and fever approximately three weeks ago but there had been no bruises at that time. The child did not have a history of bleeding nor was there any family history of bleeding or easy bruising. Family history did reveal that the mother had history of recurrent migraine headaches. His physician orders the following tests: • RBC 3.81 x 10^6/ul • WBC 9.5 x 10^3/ul • HGB • HCT • MCV • MCH 30pg 11.1g/dl 33.3% 90.4fl • MCHC 32.7% • PLT 33,000/ul • Differential: within normal limits • Peripheral Smear: Large platelets were seen. 1. What conclusions can you draw from these results? 2. What are you suspecting, based on these findings? 3. How would you confirm your suspicions? 4. What is the final diagnosis for this patient?

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