An asymptomatic patient has a platelet count of 28 x 10^9/L.… | 마이메르시 MyMerci
Hematology · 혈액학·지혈
문제
An asymptomatic patient has a platelet count of 28 x 10^9/L. The analyzer flags platelet clumps, and clumps are seen at the feathered edge of the EDTA smear. What is the best next step?
1Report severe thrombocytopenia without comment
2Recollect in an alternative anticoagulant according to laboratory policy and verify the count✓ 정답
3Estimate hemoglobin from the platelet histogram
4Warm the EDTA specimen to boiling
해설
EDTA-dependent platelet clumping can cause pseudothrombocytopenia. Recollection using a validated alternative anticoagulant and smear review can provide a more accurate count.
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