Why am I having joint popping, low platelet count and LFT abnormalities?

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Please read the write-up on low platelets and then make queries (attachments removed to protect the patient's identity).

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Low platelet count; also called thrombocytopenia.

Grade 1 thrombocytopenia: The platelet count range between 75,000 to 150,000 platelets per microliter of blood. No action is needed. Just follow up.

Grade 2 thrombocytopenia: The platelet count range between 50,000 to 74,000 platelets per microliter of blood. Do not panic. Investigate the cause. The top-of-the-line cause is usually nutritional deficiency, chronic infections, or some drug-induced destruction.

Grade 3 thrombocytopenia: The platelet count range between 25,000 to 49,000 platelets per microliter of blood. Do not panic about the platelets. Panic about the cause. Possible causes might be septicemia, ITP (idiopathic thrombocytopenic purpura), and bone marrow infiltration.

Grade 4 thrombocytopenia: The platelet count range between 5,000 to 24,000 platelets per microliter of blood. Need to panic about platelets and the cause of both. However, no platelet transfusions are needed. Needs frequent monitoring of the patient. Causes include acute ITP, septicemia, DIC (disseminated intravascular coagulation), TTP (thrombotic thrombocytopenic purpura), acute leukemia, and aplastic anemia.

Grade 5 thrombocytopenia: The platelet count falls below 5000 platelets per microliter of blood. It is the critical level of platelets. Needs hospitalization and immediate platelet transfusion. However, Eltrombopag is superior to platelet transfusion in most cases. The causes are the same as those of grade 4 thrombocytopenia.

Hi,

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There is no need for follow-up.

Do CBC (complete blood count) test after a couple of months.

Just monitor the signs and symptoms of bleeding (petechiae, bruising, epistaxis, gum bleeding, hematemesis, hemoptysis, bleeding per rectal, and menorrhagia are signs of bleeding.)

Vaccines are also a cause of mild to moderate thrombocytopenia.

Hi,

Welcome back to icliniq.com.

It is good to see that all reports are normal (attachments removed to protect the patient's privacy).

There must be some local dental cause of bleeding.

Even at platelets of 112,000 per microliter of blood, there will not be any active spontaneous bleeding.