The First Steps When Approaching Thrombo Set of Pina

In about 1 to 3% of the population they actually have a thing called pseudo thrombocytopenia where you have platelet clumping due to a laboratory artifact because of the anticoagulant in the test tube. So chronicity and pattern matters. And if the answer is it's brand new that's a very different work up for me than if this patient’s always been thrombcytopenia. Thank you Sarah for introducing the case alright so this patient's platelet count is certainly abnormal doctor stern what are your first steps when thinking about how to approach thrombo set of pina.