Nonthrombocytopenic idiopathic purpura: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for:
Bleeding that is heavy or will not stop with firm pressure
Purpura or a non-fading rash with fever or serious illness
Vomiting blood, coughing up blood, or passing black or bloody stool
A sudden severe headache, confusion, fainting, weakness, or difficulty speaking
Significant bruising after a head injury, especially while taking anticoagulants
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if the marks become widespread over a short time, are raised or painful, or occur with joint pain, abdominal pain, blood in the urine, or other new symptoms.
These warning signs are not typical of uncomplicated idiopathic purpura and need urgent assessment.
3
Does any of this apply?
Book an appointment
Make a routine appointment if you have unexplained or recurring purpura, even if you otherwise feel well.
This is especially important if the marks began after a new medicine, you have a family history of unusual bleeding, or you also experience frequent nosebleeds, gum bleeding, or unusually heavy periods.
Every sign above is quoted from the sofidex article on Nonthrombocytopenic idiopathic purpura. If you are not sure, err upward — it is always reasonable to be checked.