59) Following your initial evaluation and treatment, you see t | Paediatrics videos & books

59) Following your initial evaluation and treatment, you see the child for follow-up in 1 week. She continues to appear well but still has obvious purpura and her platelet count is now 17,000. All other cell lines are normal. Of the options listed below, what is your most appropriate management at this time?
(A) admission to the regional children’s hospital for a platelet transfusion
(B) admission to the children’s hospital for a splenectomy
(C) reassurance to the parents and close outpatient follow-up
(D) admission to the children’s hospital for IVIG and steroids
(E) whole-blood transfusion with several hours of observation to ensure that there is no transfusion reaction