patient with a history of small cell lung cancer, warfarin u | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Report case

Report this to our moderators

You can view up to 4 cases without signing up Sign up for unlimited access

Patient with a history of small cell lung cancer, warfarin use for a fib presents with an acute onset of #Petechiae on the LE since last night. No other complaints at this time. I drew CBC with normal platelets, still awaiting pt/inr and cmp. What other labs and further management from an urgent care perspective?

More about this case

Trending

Why you should join Figure 1

Similar cases

Idiopathic thrombocytopenic purpura. 5 year old female, comes to the ER for presenting petechiae, mother says she got bit by a spider prior to presenting the petechiae.

Recurrent eruption of the knees and elbows of a 60y old male. It has been appearing and disappearing regularly over a course of 8y. When present the eruption only last about 2w. No itch, sometimes painful at the end of the day. Patient is diabetic. No hx of psoriasis. No local treatment so far. Diagnose?

30 yr old female, came to the clinic complaining of bruises and purpura on the breasts with no history of trauma or any acute or chronic illness she doesn't have any other symptoms CBC was done ( in the picture) what is the next step in management? and what is the most likely diagnosis?

Findings from the global AVA-PED-301 trial suggest avatrombopag may offer a safer, more convenient treatment option for children with chronic immune thrombocytopenia (ITP). In this randomized study of 75 patients aged 1–17, avatrombopag led to sustained platelet responses in 28% of participants vs. 0% with placebo. Over 80% of avatrombopag-treated patients met secondary platelet count goals. Mild side effects were most common, with no severe bleeding or thrombosis reported. With favorable safety and oral administration, avatrombopag may fill a key gap in pediatric ITP care. Discuss with your colleagues below.](https://app.figure1.com/cdn-cgi/image/format=auto,quality=85,width=168,height=168,fit=cover,gravity=auto/https://figure1-pro-prod.imgix.net/cases/images/750c11dea36f801fe0adc3f0aa25c292062c09401f3c6a1b02c5911187a3a74e.png)](https://app.figure1.com/case-detail/6ab19493-8006-4acd-8f8d-b94f3b535270) New From Heme Today: Findings from the global AVA-PED-301 trial suggest avatrombopag may offer a safer, more convenient treatment option for children with chronic immune thrombocytopenia (ITP). In this randomized study of 75 patients aged 1–17, avatrombopag led to sustained platelet responses in 28% of participants vs. 0% with placebo. Over 80% of avatrombopag-treated patients met secondary platelet count goals. Mild side effects were most common, with no severe bleeding or thrombosis reported. With favorable safety and oral administration, avatrombopag may fill a key gap in pediatric ITP care. Discuss with your colleagues below.

Trending now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?