How would you manage a pediatric patient with immune thrombocytopenia who has severe thrombocytopenia without bleeding symptoms?

As posed according to current data and opinion (for best: see the TIKI trial), there is NOT an urgent reason to treat.

However, choosing to observe rather than treat requires careful assessment of the patient and the family.

Examples include:

• Does the patient have a headache?
• Did they receive ibuprofe...