An automated CBC reports platelets 28 × 10^9/L with a platel… | 마이메르시 MyMerci
이 문제가 수록된 문제집미국 임상병리사 MLS(ASCP/ASCPi) 문제은행·CAT문제집 보기
Hematology · 혈액학·지혈
문제
An automated CBC reports platelets 28 × 10^9/L with a platelet-clump flag. The patient has no bleeding symptoms and previous counts were normal. What is the best first laboratory response?
1Release the count as critical without review, assuming the automated flag is a false alarm and no further investigation is needed, as the patient has no bleeding history
2Examine a peripheral smear for clumps and obtain a properly collected specimen in an alternative anticoagulant if needed✓ 정답
3Manually change the platelet count to the previous value, disregarding the current automated result and any potential patient changes, as the difference is likely due to laboratory error
4Incubate the EDTA tube overnight and repeat the count, expecting platelet disaggregation, which may resolve the pseudothrombocytopenia
해설
EDTA-dependent platelet clumping can produce a spuriously low count. Smear review confirms clumping, and prompt recollection using an alternative anticoagulant can help obtain a reportable platelet count.