<prompt> What is the treatment of Choice for Idiopathic Thrombocytopenic PurpuraSteroidsIV immunoglobinBlood transfusionSplenectomy  <response>: Medical Treatment of ITP:- The treatment of choice is medical- oral prednisolone 1mgkg produces dramatic response in 50-70 cases. Intravenous immunoglobin is indicated for internal bleeding. Refractory ITP:- Failure of initial therapy mentioned above. Rituximab given IV Thromboplastin Receptor antagonists- Eltrombopag and Romiplostim Splenectomy Indications :- Most common indication for elective splenectomy For patients with low platelet count should have platelets available at surgery but should be infused only after ligating the pedicle. Should not be given preoperatively Ref:- Surgery Sixer 3rd Edition; pg num:- 724 