Approach to a case of thrombocytopenia?

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* THROMBOCYTOPENIA.. CAUSES.. ITP .. PYREXIA.. VIRAL FEVER.. DENGUE FEVER MP.. ENTERIC FEVER.. LEUKEMIA..BONE MARROW DISEASES.. NEED'S..CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. MP..WIDAL..DENGUE TEST.. USG..ABDOMEN.. BONE MARROW STUDY.. NEED'S.. MANAGEMENT AS PER CAUSE.. SYMPTOMATIC T/T.. IV..FLUIDS.. MULTIVITAMINS.. PLATELETS TRANSFUSIONS.. UPCOUNT SACHETS.. HEALTH OK SACHETS..

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Protocol.... History.... pallor Bleeding episides... gum bleed.. petechiae... epistaxis... melaena Drug history..analgesic..antibiotics.. Fever Arthropathy On exam...anemia..icterus..lymph nodes..liver spleen....rash...sternal /bony tenderness. Dx.. Cbc esr...pbs Platelet count...morphology Rule out pseudothrombocytopenia by pbs study... look for agglutination.. megathrombocytes...satellitism. Rule out Evans syndrome /AIHA Coomb s direct Lft..Rft RA..CRP..ANA RULE OUT MDS...MALARIA.. KALA AZAR..DENGUE.. VIRAL ETIOLOGY BONE MARROW STUDY.

Main causes are Front line: 1) Makaria 2) dengue 3) chiken gunia Second line causes 1) acute Leukemia 2) ITP 3) bleeding disorders 4) VF 5) HIV 6) HBSAG 7) AIHA

GBP with RC If there penia in all lineage,then adv BM If only platelates are decreased,then look for the cause of isolated thrombocytopenia

A complete blood count measures the levels of red blood cells, white blood cells, and platelets in blood. For this test, a small amount of blood is drawn from a blood vessel, usually in arm. If it is thrombocytopenia, the results of this test will show that platelet count is low.

Ask for H1N1 NS1 IGM IGG PT/INR WIDAL MP BONE MARROW

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