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Surgery G.I.T 822c4a95

An evidence that splenectomy might benefit a patient with idiopathic thrombocytopenic purpura includes which of the following

A
A signifificant enlargement of the spleen
B
A high reticulocyte count
C
Patients age less than five years
D
An increase in platelet count on coicosteroid therapy
High-Yield Explanation
Splenectomy is not indicated in non-bleeding ITP for 6 months with platelet count above 50,000 /cu.mm.reaponse rate 80%.relapse of ITP after splenectomy is 10%.it is probably due to hepatic sequestration of platelets in such patients or presence of accessory spleens Ref: SRB&;s manual of surgery,ed5, pg no 675

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