The Cribsiders

S7 Ep146: ITP - You’ll be cruising when you see bruising!

7 snips
Jul 16, 2025
Dr. William Bo Mitchell, an expert in pediatric hematology at CHAM Children's Hospital, dives into the complexities of Immune Thrombocytopenia (ITP). He discusses how to evaluate bleeding symptoms, shares a compelling patient story, and highlights the nuances of diagnosing ITP in children. Listeners learn about treatment options, from steroids to second-line therapies, and the importance of individualized care. With insights on triggers and the role of empathy in medicine, you'll feel empowered the next time you encounter bruising.
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ANECDOTE

Touching Patient Care Story

  • Dr. William Bo Mitchell shared a poignant experience with a patient having a rare inherited immune disorder that was ultimately fatal due to COVID.
  • He learned the family's primary concern was feeling his genuine care for their child above medical intricacies.
ADVICE

Patience and Courage in Practice

  • Approach every difficult clinical situation with patience and courage.
  • These qualities will help you solve complex problems.
INSIGHT

Evaluating ITP Presentation

  • Viral syndrome combined with low platelets suggests acute ITP.
  • Platelet counts around 38,000 may call for exploring if normal counts existed before or considering inherited platelet problems.
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