Petechiae, Purpura and Vasculitis

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Case Three: History • HPI: 9-year-old girl with a 4-day history of abdominal pain and rash on the lower extremities who was brought to the ER by her mother. Her mother reported that the rash appeared suddenly and was accompanied by joint pain of the knees and ankles and aching abdominal pain. Over 3 days the rash changed from red patches to more diffuse purple bumps. • PMH: no major illnesses or hospitalizations • Medications: none, up to date on vaccines • Allergies: none • Family history: no history of clotting or bleeding disorders • ROS: cough and runny nose a few weeks ago 44
Case Three: Skin Exam • Non-blanching erythematous macules and papules on both legs and feet (sparing the trunk, upper extremities and face); diffuse petechiae 45
Page 1 and 2: Petechiae, Purpura and Vasculitis A
Page 3 and 4: Purpuras • Either Non-Palpable or
Page 5 and 6: Non-Palpable Purpura: Ecchymoses
Page 7 and 8: Petechiae
Page 9 and 10: Purpura: The Basics • All forms d
Page 11 and 12: Examples of Purpura Petechia Ecchym
Page 13 and 14: Case One 13
Page 15 and 16: Case One: Skin Exam • Perifollicu
Page 17 and 18: Case One, Question 1 • Which of t
Page 19 and 20: Vitamin C Deficiency - Scurvy • S
Page 21 and 22: Vitamin C Deficiency - Scurvy
Page 23 and 24: Case Two: History • HPI: 19-year-
Page 25 and 26: Case Two: Initial Labs • WBC coun
Page 27 and 28: Sepsis and DIC • Patient’s clin
Page 29 and 30: Meningococcemia
Page 31 and 32: Purpura Fulminans - DIC
Page 33 and 34: Rocky Mountain Spotted Fever
Page 35 and 36: Clinical Evaluation of Purpura •
Page 37 and 38: Palpable Purpura 37
Page 39 and 40: Vasculitis Morphology • Vasculiti
Page 41 and 42: Vasculitides According to Size of t
Page 43: Case Three 43
Page 47 and 48: Case Three, Question 1 Answer: d
Page 49 and 50: Case Three, Question 2 • What is
Page 51 and 52: Henoch-Schonlein Purpura • Henoch
Page 53 and 54: HSP: Evaluation and Treatment • I
Page 55 and 56: Case Four 55
Page 57 and 58: Case Four: Skin Exam • Normal vit
Page 59 and 60: Answer: b Case Four, Question 1 •
Page 61 and 62: Case Four, Question 2 Answer: a & c
Page 63 and 64: LCV: Evaluation • CBC • Urinana
Page 65 and 66: Leukocytoclastic vasculitis • Pal
Page 67 and 68: Case Five 67
Page 69 and 70: Case Five: Exam • Vitals: febrile
Page 71 and 72: Case Five: Labs • CBC: anemia •
Page 73 and 74: Case Five, Question 1 • What is t
Page 75 and 76: Polyarteritis Nodosa • Polyarteri
Page 77 and 78: Polyarteritis Nodosa • Several hy
Page 79 and 80: Systemic PAN • Key diagnostic fea
Page 81 and 82: Management: PAN • Chronic course
Page 83 and 84: Pigmentary Purpuric Eruptions Varia
Page 85 and 86: Schamberg’s Disease- Treatment
Page 87 and 88: Purpura AnnularisTelangiectoides Ma
Page 89 and 90: Ducas and Kapetanakis
Page 91 and 92: Summary: Petechiae and Purpura •

Petechiae, Purpura and Vasculitis

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