You are checking the results from yesterday’s surgery and review our patients consultation notes:
61 year old female, previously fit and well
· Easy bruising over both lower limbs for 2-3 weeks. No constitutional symptoms
· No significant past medical history
· No previous bleeding history
· No family history of bleeding disorders
· Moderate alcohol intake. Non-smoker
· Recently separated from a long-term partner. No concerns about trauma or physical abuse
· Physical examination unremarkable other than several 2-3cm bruises over both legs and faint petechiae
The lab have called through her results:
Hb 120, MCV 82, Plt 8, WCC 6, Neutrophil 4
Coagulation screen shows PT, APTT, Fibrinogen results within the normal range
Autoimmune and viral screens are unremarkable
There is an added film comment:
Genuine thrombocytopenia. No aggregates on film or clot in sample. Occasional large platelet present. No primitive cells. Morphology otherwise unremarkable.
- How do you interpret these results?
- What action do you take?
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