purpura workup

Full Writeup

CC: purpura

HPI: Patient is a ___ year old ___ with no significant past medical history who presents with a chief complaint of purpura.

onset; quality; quantity; progression; triggering events; aggravates; alleviates;

PMH: none
Meds:
Allergies:
FH:
SH: smoke, EtOH, illicit drugs, environment

10-point review of systems is negative other than those per HPI.

Physical exam:

Pertinent positives on physical exam include: purpura

Vitals:
Gen: NAD
HEENT: NCAT, PERRL, TM nonbulging, nasal mucosa pink, oropharynx without exudates
Neck: no lymphadenopathy
CV: RRR, no murmurs or gallops
Pulm: CTAB, normal work of breathing
GI: NTND, no organomegaly, no rebound
Ext: well perfused, nontender, nonedematous

Assessment & Plan:

In summary, patient is a ___ year old ___ with no significant past medical history who presents with purpura

Differential diagnoses:
Based on the symptoms, my differential includes: RMSF, DGI, DIC, vasculitis, meningitis, endocarditis, TTP-HUS
There are also 2 diseases that can present with a chief complaint of purpura: HSP, ITP

After reviewing the signs and symptoms, I narrowed the differential to the following diseases:

Pertinent positives

Pertinent negatives

Differential diagnoses

What to do next

HPI and Review of Systems

Physical Exam

Full Writeup

Common Chief Complaints