Thrombocytopenia is a common feature in acute hospital admissions, The differential diagnosis is wide, with the most common causes being drug-related and sepsis. It is important to rule out artefact and repeating the test is often appropriate although shouldn’t delay important life-saving measures if the count is clinically possible. In this case a blood film is made to rule out platelet clumping. This is what it shows:
Now what do you think? Say what you see!
Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological emergencies along the way. The case will continue to evolve over the coming week so keep checking #teamhaem for more information.
Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.
TeamHaem are not a position of authority. It is an educational platform to allow discussion and debate rather than to provide medical advice.