A clinical case of Essential Thrombocytosis

38/male non DM non HTN came with chest pain ; platelets found to be 19 lacs and ecg as shown; interpret ecg and explain

A 45 years old female with known case of HTN, T2DM, Hypothyroidism, having increased platelets (6 lakhs), since last one year. What is the differential diagnosis and management ?

38 yr old female comes with c/o mild chest pain headache and bluish discolouration of left hand fingers bp200/120 p/100 Pt was concious well oriented Pt put on ntg drip...bp drops to 140/100mmhg...now pt on telma am (telmisartan+amlodipin) For blackish colouration of finger vascular surgeons opinion taken...he started heparin hydrocort.....initialy platelet count was 7.2 lakh and its increasing...now platlets count is 10 lakh....wht is the diagnosis why platlet count is this much...???. N wht is the tx

48/f poorly built and nourished wit c/o tiredness.nil past allergic history.al system wnl.rbs and cbc,rbs 452 mg% and cbc shown below (u.ketone _ve sputum afb , hbsag , hiv result awaiting).d/d? how proceed this case? any condition in which this much elevated platelet? pls adivice

Comment on this condition.... (clue- patient has increased platelet count)