{"created":"2020-08-30T20:06:16.573826+00:00","id":3181,"links":{},"metadata":{"_buckets":{"deposit":"56710449-7c82-4d1f-89cb-0384b1d976e0"},"_deposit":{"id":"3181","owners":[],"pid":{"revision_id":0,"type":"recid","value":"3181"},"status":"published"},"_oai":{"id":"oai:meral.edu.mm:recid/3181","sets":["1582963366982:1596631630241"]},"communities":["um1"],"item_1583103067471":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_1551255647225":"Pre-operative pseudothrombocytopenia: terrifying but innocuous","subitem_1551255648112":""}]},"item_1583103085720":{"attribute_name":"Description","attribute_value_mlt":[{"interim":"

An isolated thrombocytopenia was found in a 47-year old man during pre-operative work-up for his closed radial bone fracture on left forearm after a fall. His platelet count was as low as 14 x 103/μL, but there was no active bleeding and past history of bleeding disorder. The clue to true diagnosis started from careful blood film examination - platelet clumps in blood film. Repeat full blood count tests were requested not only with the usual anticoagulant EDTA (Ethylene diamine tetra-acetic acid) but also with heparin as well as with citrate. EDTA-dependent pseudothrombocytopenia was diagnosed which can be confused with other life-threatening platelet disorders. The operation was successfully done without unusual bleeding.

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