Msabc Hispanic Female Referred To Ed By Ophthalmologist For An Acute Onset Of Th

Ms ABC Hispanic female referred to ED by ophthalmologist for an acute onset of thrombocytopenia. Current meds include: Prednisone 20mg BID, Methotrexate 20mg weekly, Zantac 150 mg BID, Vigamox 0.5% ophthalmic 1 gtt in the Right eye BID, erythromycin 0.5% ophthalmic ointment Right eye QHS, Ibuprofen PRN, folic acid 1 mg daily, metformin 750 mg daily. she was started on methotrexate approximately 6 weeks ago, but has been off the med for 2 weeks, and just got it refilled yesterday at her appointment with her ophthalmologist which is when labs were completed. She took a dose last night (after labs were done). She has not had any overt signs of bleeding.

Assessment: Vitals stable, examination negative ( skin, heart, lungs, abdomen, rectal, stool for occult blood negative). Has some scattered petechiae.

Labs: NA+ 125, K+ 4.2, CO2 20, Ca 9.4, Cr 0.9, BUN 20, Glucose 573, Albumin 3.6, AST 16, ALT 33, WBC 8, Hct 39%, Hgb 13, MCV 92.8, platelet 7000.

What is the diagnosis?

what causes the diagnosis?

should she receive platelet yes or no?

pathophysiology of the diagnosis?

 

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