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Epistaxis

UnFiNiShEd CaSe CoMe BaCk LaTeR

History of Present Illness: a woman in her late 80’s p/w 1 week of on and off epistaxis. She takes Plavix but it is not new.  She was COVID negative recently as a routine screening where she lives.  She denies other complaints.

Vital Signs & Physical Exam:

Vital signs are normal except for

Physical exam is otherwise normal except for

Initial Diagnostic Testing:

  • CBC: normal except for platelets of 25
  • Chem 7: normal except for
  • Imaging: none
  • COVID: positive

What is the most likely diagnosis?

  • A)
  • B)
  • C)
  • D)
  • E)

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

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ANSWER:

  • A)
  • B)
  • C)
  • D) ITP from COVID – CORRECT
  • E)

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION:

CASE LESSONS:

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