Developed by top pediatric hospitalists, Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, 3rd Edition, is sure to become your go-to resource from initial patient evaluation all the way through discharge management. Quickly obtain the essential information for managing a wide range of pediatric medical conditions in patients who have been admitted to the hospital with this trusted, pocket-sized reference. Available for purchase at https://www.aap.org/caring-for-the-hospitalized-child-a-handbook-of-inpatient-pediatrics-3rd-edition-paperback/
Phuong Nguyen, MD, FAAP, "Thrombocytopenia", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Platelets, also known as thrombocytes, are essential for primary hemostasis. The normal number of platelets in a child is 150,000–450,000/mcL, while thrombocytopenia is defined as platelet count less than 150,000/mcL. Bleeding signs and symptoms become apparent when the platelet count is less than 50,000/mcL, and severe thrombocytopenia is less than 20,000/mcL.
Thrombocytopenia can be secondary to either increased destruction or decreased production. There is a greater likelihood of a serious disorder if the thrombocytopenia is associated with neutropenia and anemia.
In the acute inpatient setting, thrombocytopenia may present with evidence of a bleeding disorder, or it may be a secondary...
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