So what have we found out so far?
We have a 40 year old man, who had one episode of ITP as a child, with dilated cardiomyopathy who is now 7 days post LVAD with plt of 30 and falling. He is not bleeding, but did require multiple transfusions intraoperativly.
He has been pyrexial, developed a lobar pneumonia and been put on tazocin. Mycoplasma serology is negative.
He has also been put on iv heparin and aspirin post operatively.
The blood film has finally been made!
What are your thoughts? What does the blood film show?
Other than HIT what other potential causes of thrombocytopenia do we have?