49-year-old woman is referred to the haematology clinic with easy - TopicsExpress

49-year-old woman is referred to the haematology clinic with easy bruising and recurrent epistaxis. She is otherwise well. Blood tests reveal the following: Hb 12.9 g/dl Platelets 19 * 109/l WCC 6.6 * 109/l The patient refuses consent for a bone marrow examination. What is the most appropriate initial management? A. Platelet transfusion B. Oral prednisolone C. No treatment D. ABVD chemotherapy E. Splenectomy

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