A 45-year-old woman is registered for regular check-ups due to Werlhof disease (immune thrombocytopenia). Complete blood count: Hb- 100 g/L. erythrocytes – 2.8 × 109/L. platelets – 90,0 × 109/L, leukocytes – 8.4 × 109/L, erythrocyte sedimentation rate – 13 mm/hour. Examination detects a single small hematoma on the anterior surface of the thigh, developed after the patient accidentally stumbled on a table. What treatment tactics should be chosen in this case?

Answer options

1. Urgent hospitalization into the hematology unit
2. Urgent hospitalization into the general care unit
3. Continue the supervision by the hospital hematologist
4. Urgently start a hemostatic therapy followed by a planned hospitalization into the hematology unit
5. Administer thrombocytic mass, continue the treatment in the hematology unit

Explanation

The single small hematoma on the anterior surface of the thigh is not a cause for alarm, however, this patient needs to be monitored closely and hence continue the supervision by the hospital hematologist.