Case 142: the beginning

You are the haematology registrar on call (non-resident in the evening). It’s 6:15 pm and as you’re walking into your home, you get called by the medical SHO on the Acute Medical Unit for advice on pre-procedure platelet transfusion. They would like to perform a diagnostic lumbar puncture to exclude encephalitis in a 31-year-old woman who presents with fevers, confusion and a headache. Her platelet count has come back as 13 x 10^9/L.

Would you be happy to advise on platelet transfusion with the information provided here?

If not, what further information would be helpful and what steps would you take to help guide your decision making in this situation?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter 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 learning

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