Foundational topic

Foundational Topics

Platelet Disorders . Lookup

Platelet Disorders . Lookup is a medical laboratory reference in the LabPedia Medical Laboratory Library (Foundational Topics). Thrombocytopenia and thrombocytosis mechanism table, differential associations, not exclusive diagnoses.

Also known asLow platelets; High platelets; PLT disorders

Overview

Mechanism-oriented platelet count disorder framing for laboratory pattern recognition.

Classification

Comparison of listed laboratory features
PatternMechanism examplesLaboratory clues (not exclusive)
Thrombocytopenia, productionMarrow failure, TPO deficiency, chemotherapyLow MPV/IPF; marrow hypocellular on biopsy when performed
Thrombocytopenia, destructionITP, DIC, TTP/HUS among othersHigh MPV; schistocytes if MAHA; directed reflex tests per protocol
Thrombocytopenia, sequestrationHypersplenismOther cytopenias possible; imaging clinical
Thrombocytopenia, dilutionMassive transfusion/fluid resContextual; other parameters affected
Thrombocytopenia, artifactEDTA pseudothrombocytopeniaClumps on smear; citrate repeat normal
Thrombocytosis, reactiveInflammation, iron deficiency, post-splenectomyNormal platelet morphology; inflammatory markers
Thrombocytosis, clonalMPN among associationsPersistent isolated elevation; basophilia/giant platelets may prompt referral

Morphologic Features

Smear comments describe, do not diagnose disease from morphology alone.

Laboratory Characteristics

  • Use report intervals only for thrombocytopenia/thrombocytosis labels

Reference Intervals

Critical thresholds, institution-specific per GP47-aligned policy.

Clinical and Laboratory Significance

Patterns suggest mechanism branches, confirmatory testing clinician-directed.

Differential Considerations

Multiple etiologies per pattern, hedged language required.

Comparison Tables

Classification Frameworks

Laboratory Notes

  • Screening NOT definitive diagnosis.

References

Authoritative textbooks, guidelines, and reviews supporting this reference entry. Verify reference intervals, critical limits, and reflex criteria against institutional protocols and current guideline editions.

Textbooks

  • McPherson RA, Pincus MR. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 2021.
  • Rodak BF, Carr JH. Rodak's Hematology: Clinical Principles and Applications. 6th ed. Elsevier; 2020.
  • McKenzie SB, Williams JL. Clinical Laboratory Hematology. 4th ed. Pearson; 2022.
  • Bain BJ. Blood Cells: A Practical Guide. 5th ed. Wiley-Blackwell; 2015.

CLSI and Professional Guidelines

  • Clinical and Laboratory Standards Institute. Reference and Selected Performance Standards for the Automated Complete Blood Cell Count (CBC). CLSI document H26-A2. CLSI; 2010.
  • Clinical and Laboratory Standards Institute. Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory; Approved Standard. CLSI document EP28-A3c. CLSI; 2010.
  • Clinical and Laboratory Standards Institute. Management of Critical- and Significant-Risk Results. CLSI guideline GP47-Ed1. CLSI; 2015.
  • Clinical and Laboratory Standards Institute. Collection, Transport, and Processing of Blood Specimens for Testing Plasma-Based Coagulation Assays and Molecular Hemostasis Assays; Approved Guideline. CLSI document H21-A5. CLSI; 2017.

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Platelet Disorders . Lookup is a Foundational Topics entry in the LabPedia Medical Laboratory Library, written for Medical Laboratory Science reference lookup.

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