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E v a l u a t i o n o f P a t i e n t w i t h P e t i c h i a e H i s t o r y & P E C B C & D i f f P e r i p h e r a l s m e a r H g b & W B C C h e c k f o r c o n g e n i t a l a n o m a l i e s S p l e n o m e g a l y & L y m p h a d e n o p a t h y CONSULT HAEMATOLOGIST (Malignancy,HIV, infection, hypersplenism) S P E C I A L T Y C O N S U L T A T I O N Normal A b n o r m a l C O N S U L T H A E M A T O L O G I S T Platelet Morphology N o r m a l A b n o r m a l C O N S U L T H A E M A T O L O G I S T P r e s e n t A b s e n t P r e s e n t A b s e n t C O N S U L T H A E M A T O L O G I S T F a n c o n i , T A R , W i S c o t t A l d r i c h H/O drugs, HIV Collagen disease P o s i t i v e Negative P o s s i b l e I T P Count 70 K or more F O L L O W C L I N I C A L L Y Count <70K T r e a t i f c o u n t i s < 2 0 K C o u n t i s > 2 0 K w i t h s e r i o u s m u c o c u t a n e o u s b l e e d s t h e r e i s s e r i o u s o r l i f e - t h r e a t e n i n g b l e e d .

Thrombocytopenia algorithm

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Simplified chart for dealing with a case of bruises and ecchymoses

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