A 14-Year-Old Female Is Brought To The Urgent Care By Her Mother, Who States That

A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and funny looking red splotches on her legs
These bruises were first noticed about 2 weeks ago and are not related to trauma
PMH not remarkable and she takes no medications
The mother does state the girl is recovering from a bad case of mono and was on bedrest at home for the past 3 weeks
The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning
Labs at urgent care demonstrated normal hgb and hct with normal WBC differential
Platelet count of 100,000/mm3 was the only abnormal finding
The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released
The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura
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