3/52 hx of epistaxis, oral mucosal bleeding and purpura over the feet and shins.

JM was diagnosed with idiopathic autoimmune thrombocytopenia purpura in 1996. He suffered from epistaxis, bleeding gums and purpura and his platelet level at this time was found to be 2 x 109g/L. Treated with corticosteroids, but refractory to therapy, JM underwent a splenectomy with good resolution. He was gradually weaned off prednisolone and followed up in the haematology clinic in 1999. The patient has been asymptomatic until this recent presentation to his GP, who referred him to the haematology unit at the Western General Hospital.

1994 - Autoimmune haemolytic anaemia diagnosed. Treated with corticosteroids.

„aasthma, „aepilepsy, „ajaundice, „aDM, „aMI, „aCVA, „aTB, „aHT, „aRF

Psychological aspects of medical practice

„h Sequestration. E.g. splenomegaly (because of pooling in the enlarged organ.)

4) IVIgG (1g/kg) may temporarily raise the platelet count.

Idiopathic thrombocytopenic purpura (ITP) is the commonest mechanism by which platelets are destroyed in the circulation.

Skin: Purpura on feet extending up to shins

Some common words found in the essay are:
Cycle Patient-centered, Syndrome JM, Medicine Patients, Chronic ITP, Sequestration Eg, Enquiry JM, Management Plan, Complaint JM, Expectations JM, CNS Grossly, platelet count, 3/52 hx, chronic itp, purpura feet, life cycle, corticosteroid therapy, position life cycle, partner child, extending shins, refractory corticosteroids, intravenous immunoglobulin, feet extending shins, refractory corticosteroids splenectomy, patient's position life, intravenous immunoglobulin considered,
Approximate Word count = 2027
Approximate Pages = 8 (250 words per page double spaced)