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Petechiae, Purpura and Vasculitis

Petechiae, Purpura and Vasculitis

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Case One: History<br />

• HPI: 42-year-old man who presents to the ER with a 2-week<br />

history of a rash on his abdomen <strong>and</strong> lower extremities.<br />

• PMH: hospitalization 1 year ago for community acquired<br />

pneumonia<br />

• Medications: none<br />

• Allergies: none<br />

• Family history: unknown<br />

• Social history: without stable housing, no recent travel or<br />

exposure to animals<br />

• Health-related behaviors: smokes 10 cigarettes/day, drinks 3-10<br />

beers/day, limited access to food<br />

• ROS: easy bruising, bleeding from gums, overall fatigue<br />

14

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