16 year old male relative of mine was diagnosed with
Patient :16 year old male relative of mine was diagnosed with ITP 3 months ago. His platelet counts were as low as 5000 initially. he was treated with prednisolone and azethioprine for a month by a hematologist and currently treated with Dapsone and Cyclosporine only by another Hematologist. recently he had redish urine, suspecting a renal caliculi, we performed a USG Abdo. And we found that he have borderline splenomegaly (size 13.2cm) and minimal free fluid in pelvis . What is reason behind his splenomegaly and free fluid ?
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