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THROMBOCYTOPENIA

THROMBOCYTOPENIA: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

  1. What is the WBC count? Thrombocytopenia with a high white count suggests leukemia or myeloid metaplasia. Thrombocytopenia with a normal white count suggests idiopathic thrombocytopenic purpura or drug reaction. Thrombocytopenia with a low white count suggests lupus erythematosus, aplastic anemia, myelofibrosis, drugs, myelophthisic anemia, or pernicious anemia.
  2. What is the ANA? A positive ANA in the face of thrombocytopenia and a low white count suggests lupus erythematosus.

DIAGNOSTIC WORKUP

The diagnostic workup should include a CBC, blood smear, sedimentation rate, urinalysis, serum B 12 , chemistry panel, ANA, serum haptoglobins, red cell survival, liver spleen scan, CT scan of the abdomen, and a hematology consult for bone marrow study.

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

More About Immune Thrombocytopenic Purpura

More Medical Textbooks Online about Immune Thrombocytopenic Purpura

Review other book chapters online related to Immune Thrombocytopenic Purpura:

Medical Books Excerpts
  • Purpura
  • "In a Page: Signs and Symptoms" (2004)
  • Purpura
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • Purpura
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • Purpura
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Thrombocytopenia
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Purpura
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • Purpura
  • "Nursing: Interpreting Signs and Symptoms" (2007)
 

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: PURPURA AND ABNORMAL BLEEDING (Algorithmic Diagnosis of Symptoms and Signs)

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