Possible ITP
Negative
FOLLOW CLINICALLY
Count 70 K or more
H/O drugs, HIV Collagen disease
Absent
SPECIALTY CONSULTATION
Positive
CONSULT HAEMATOLOGIST (Malignancy,HIV, infection, hypersplenism)
Present
Splenomegaly & Lymphadenopathy
Normal
Platelet Morphology
Normal
Evaluation of Patient with Petichiae
•if count is < 20K •Count is >20 K with serious mucocutaneous bleeds • there is serious or lifethreatening bleed.
Treat
Count <70K
CONSULT HAEMATOLOGIST Fanconi,TAR,WiScott Aldrich
Check for congenital anomalies Present
Absent
CONSULT HAEMATOLOGIST
Abnormal
CONSULT HAEMATOLOGIST
Abnormal
Hgb & WBC
History & PE CBC & Diff Peripheral smear