A 73-year-old girl with a dropping platelet count What management is suitable because of this elderly patient, who has several significant risk factors for thromboembolic and haemorrhagic events? Case scenario A 73-year-old woman presents with a dropping platelet count . She’s multiple medical problems, including asthma, hypertension, type and hypercholesterolaemia 2 diabetes. She has a past history of DVT and pulmonary embolism; her status for matter V Leiden is normally positive. She suffers from recurrent atrial fibrillation and has had successful cardioversion, and she’s undergone surgery for aortic valve alternative . The individual also has a past history of a bleeding duodenal ulcer requiring transfusion and suffers from essential tremor.The 490 patients received 335 different medicines altogether, with each patient receiving an average of 14 drugs while in hospital. Of the drugs prescribed, 74 were used off-label 10 instances or more. The results of the survey completed by Sorenson and team show that off-label prescribing is the rule as opposed to the exception in the pediatric ICU. More studies need to be conducted in order that prescribing inside our youngest and sickest patients can be done predicated on proof, emphasized Sorenson. Certified from medwireNews with authorization from Springer Healthcare Ltd. All rights reserved. Neither of the parties endorse or suggest any commercial products, services, or equipment.. Patrick J. Strollo, Jr., M.D., Ryan J. Soose, M.D., Joachim T. Maurer, M.D., Nico de Vries, M.D., Jason Cornelius, M.D., Oleg Froymovich, M.D., Ronald D.