A 5-year-old boy is brought to urgent care and seen by a PNP…
A 5-year-old boy is brought to urgent care and seen by a PNP because of the new onset of a fine, dark, pinpoint rash most prominent on his lower legs. He was last seen 2 weeks ago for an uncomplicated viral upper respiratory infection. He has no other symptoms besides the rash. The PNP observes a petechial rash and several healing bruises. CBC results: WBC: 6.5 (normal) Hgb: 13.0 (normal) Hct: 38% (normal) Platelets: 50,000 (low) MCV: 84 (normal) WBC differential: normal The PNP knows the most likely physiological cause of the boy’s rash is: