An elderly gentleman develops purpura all over body 7 days after anterior resection for carcinoma colon. He was found to have platelet count of 10,000 with normal WBC and Hb. Coagulation was normal.He was given 4 units of packed RBCs during surgery and was on LMWH prophylaxis for VTE. What is to be done?
a. Platelet transfusion
b. Corticosteroids
c. High dose IVIg
d. Stop heparin and start on Warfarin/Fondaporinux
instantknowledge Answered question August 18, 2024
The appropriate treatment for this elderly gentleman with severe thrombocytopenia and purpura after surgery is:
c. High dose IVIg.
This suggests a diagnosis of immune thrombocytopenia, and IVIg is the recommended treatment to rapidly increase platelet count.
instantknowledge Answered question August 18, 2024