A. Suspected Child Abuse. Consult child protective services (see Chapter 14, Child Abuse: Physical, p. 73). If bleeding is significant enough to warrant immediate treatment, draw one or two tubes to hold for future diagnostic tests, and treat appropriately.

B. Thrombocytopenia or Platelet Dysfunction. To correct or prevent bleeding due to thrombocytopenia from lack of platelet production or due to platelet dysfunction, transfuse single donor pheresis platelets at a dose of 10 mL/kg to raise platelet count by 50,000/mm3.

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