MSRA-0260

MSRA-0260

A 5-year-old boy is brought to surgery by his father who has noticed a number of small ‘spots’ and ‘bruises’ on his legs that have developed over the past 2-3 days. He initially thought this was due to an allergy but it has not gone away. His son is described as being well apart from a cough he’s had for the past 2 weeks.

On examination, he is apyrexial with a heart rate of 98/min. Examination of his ears, throat and chest is normal. There is no neck stiffness or abdominal masses. A number of petechiae are seen around his chest area as well as purpura on his lower legs and arms.

What is the most appropriate action?