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Life Threatening? Yes
Write-up: Pt without h/o hematologic disease. Admitted to hospital <2 weeks after vaccination with acute severe thrombocytopenia (platelets 17) without otherwise normal CBC/diff. No symptoms other then bruising and minor bleeding (epistaxis). Pt treated as ITP with oral dexamethasone bolus (40mg PO qd x 4). Immediate improvement of thrombocytopenia. February 11, 2021 06:10 94 L 10 3/cumm February 10, 2021 06:50 36 L 10 3/cumm February 9, 2021 13:55 17 CL 10 3/cumm Will be discharged on to complete steroids on 2/12 and then labs/CBC will be monitored every few days as outpt. Pt to continue to hold BASA until at least confirm stability of platelets off Rx.
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