Question

24-year-old female presents with an uncontrollable nosebleed for 6 hours, which is her fourth nosebleed over the past 2 weeks. Heavier than usual menses over the last 2 cycles, no history of bleeding problems with previous surgery/childbirth, scattered petechiae over the trunk, upper extremities, and lower extremities, low hemoglobin, platelet count of 20,000, and bone marrow aspirate shows megakaryocytes. What is the most appropriate next step in management?

A) Platelet transfusion
B) Intravenous immunoglobulin (IVIG)
C) Fresh frozen plasma (FFP)
D) Splenectomy

Answer 1

The most appropriate next step in the management of this patient is platelet transfusion.

Step-by-step explanation:

The most appropriate next step in the management of this patient is platelet transfusion. The patient's presentation is consistent with thrombocytopenia, which is a condition characterized by low platelet count.

This can lead to abnormal bleeding, such as the recurrent nosebleeds described by the patient. Platelet transfusion can help restore the platelet count and prevent further bleeding.