Petechiae and Purpura Diagnosis
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Questions and Answers

What is the primary cause of Purpura Fulminans?

  • Primary plasma cell dyscrasias
  • Intravascular coagulation (correct)
  • Infectious agent
  • Hyperviscosity Syndrome
  • What is the result of hypergammaglobulinemia in Hyperviscosity Syndrome?

  • Decreased intravascular coagulation
  • Decreased serum proteins
  • Increased plasma viscosity (correct)
  • Increased plasma cell dyscrasias
  • What is a characteristic skin lesion of Purpura Fulminans?

  • Hematomas
  • Petechiae
  • Ecchymoses (correct)
  • Purpura
  • What is the major initiating factor of Purpura Fulminans?

    <p>Diffused vascular injury</p> Signup and view all the answers

    What is a complication of Purpura Fulminans?

    <p>Gangrene of the extremities</p> Signup and view all the answers

    What is the term for rapid onset of purpura?

    <p>Purpura Fulminans</p> Signup and view all the answers

    What is the result of production of cryoprecipitate?

    <p>Serum proteins or protein complexes</p> Signup and view all the answers

    What is a characteristic of Hyperviscosity Syndrome?

    <p>Increased plasma viscosity</p> Signup and view all the answers

    What is a complication of intravascular coagulation?

    <p>Gangrene of the extremities</p> Signup and view all the answers

    What is associated with primary plasma cell dyscrasias?

    <p>Serum proteins or protein complexes</p> Signup and view all the answers

    What is a characteristic of Purpura Fulminans?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Purpura

    • Petechiae can be seen on the thighs
    • Can be caused by anemia and low ascorbic acid level, treated with ascorbic acid administration

    Types of Purpura

    • Purpura of Unknown Origin
    • Purpura Simplex (Simple Purpura or Devil's Pinches)
      • Caused by skin fragility
      • Seen in older individuals or those undergoing corticosteroid therapy
      • Bleeding is superficial
    • Senile Purpura
      • Seen in older individuals or those undergoing corticosteroid therapy
      • Purpuric lesions/bruises occur on the hands and arms
    • Drug-Induced Purpura
      • Caused by iodides, quinine, procaine, penicillin, and aspirin
    • Psychogenic Purpura
      • Seen in individuals with emotional problems, often after severe trauma or extensive surgery
      • Hypersensitive to RBC membrane components or DNA hypersensitivity
    • Scurvy
      • Caused by a deficiency in Vitamin C (ascorbic acid)
      • Decreased synthesis of collagen with weakening of capillary walls
      • Commonly seen in children; renal dysfunction is common and typically reversible in children

    Acquired Vascular Disorders

    • Caused by external/environmental problems
    • Examples include:
      • Infections (e.g., Rickettsia, viruses, cocci)
      • Septic emboli to the skin (Ecthyma gangrenosum) in endocarditis

    Allergic Purpuras

    • Anaphylactic Purpura
      • Characterized by a relatively distinctive purpuric eruption with constitutional and localized symptoms
    • Nonthrombocytopenic Purpura
      • Characterized by allergic manifestations - skin rash and edema
      • Associated with certain foods, drugs, cold, and insect bites
      • Caused by autoimmune process or allergic vasculitis

    Purpura Fulminans

    • Characterized by sudden onset, fever, prostration, symmetric circumscribed ecchymoses, and infarcts of the skin and frequently gangrene of the extremities
    • Caused by diffuse vascular injury and intravascular coagulation
    • Can be seen in any purpura with rapid onset

    Hyperviscosity Syndrome

    • Results from hypergammaglobulinemia
    • Caused by an increase in plasma viscosity

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    Description

    This quiz is about diagnosing and treating petechiae on the thighs, with a focus on laboratory findings and treatment options. It covers anemia, low ascorbic acid levels, and administration of ascorbic acid.

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