A
pregnant woman with a thrombosis… what further tests should be done?
This case
has me somewhat puzzled. Perhaps a little (lot) more information might
have been useful. Is this a new case? Is there any history?
How can
the neutrophil count be three times higher than the total white cell count.
Given
that the neutrophil count features a missing decimal point I’d suspect that the
massive platelet count is due to an ongoing chronic (albeit serious) bleed.
Hence the microcytic blood picture and low ferritin.
How
likely is myelofibrosis or essential thrombocythaemia in someone in their
mid-twenties?
Going
straight to bone marrow biopsy in a pregnant woman is a tad extreme?
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