Pediatrics

6 year old boy who presents with new onset bruising

Shilpa Gulati on May 27, 2013

Your first patient in clinic today is Sean, a 6 year old boy with a 4 day history of red marks that “look like bruises” on his legs and joint pain at his lateral ankles. This is the first time it has ever happened, and while he had a cough and runny nose last week, that has since passed. On ROS, Sean denies: fatigue, weight loss, fever, headache, abdominal pain, emesis, diarrhea, sick contacts, or aspirin use. He has had no gum bleeding, nosebleeds, blood in stool or urine. He is UTD with immunizations with no significant pediatric medical history or hospitalizations.

With just this history, which is the least likely cause of this patient’s symptoms?

Expand all answers
Viral infection
Bacterial endocarditis
Will typically cause petichial rash, not easily confused with bruising, as well as fever, fatigue, and weight loss


Leukemia
Idiopathic thrombocytopenic purpura
Henoch-Schonlein Purpura
Coagulation disorder

Your first patient in clinic today is Sean, a 6 year old boy with a 4 day history of red marks that “look like bruises” on his legs and joint pain at his lateral ankles. This is the first time it has ever happened, and while he had a cough and runny nose last week, that has since passed. On ROS, Sean denies: fatigue, weight loss, fever, headache, abdominal pain, emesis, diarrhea, sick contacts, or aspirin use. He has had no gum bleeding, nosebleeds, blood in stool or urine. He is UTD with immunizations with no significant pediatric medical history or hospitalizations.

With just this history, which is the least likely cause of this patient’s symptoms?

Expand all answers
Viral infection
Bacterial endocarditis
Will typically cause petichial rash, not easily confused with bruising, as well as fever, fatigue, and weight loss


Leukemia
Idiopathic thrombocytopenic purpura
Henoch-Schonlein Purpura
Coagulation disorder

12,392  views

  0 likes

      0 comments