Hello,
I need more information regarding your history.
1. Any bleeding symptoms?
• Petechiae, bruising, gum/nose bleeding, heavy menstruation?
2. Systemic signs?
• Fever, weight loss, lymphadenopathy, fatigue?
3. Infection history?
• Recent viral illness? Hepatitis,
HIV, EBV, CMV?
4. Autoimmune diseases?
• History of lupus, rheumatoid arthritis?
5. Family history of bleeding disorders?
6. Alcohol use,
liver disease, or splenomegaly?
Next Steps
CBC with smear
Liver function testsHIV, Hep B/C serologies
Reticulocyte count
Vitamin B12 and folate levels
LDH, haptoglobin, Coombs (if hemolysis suspected)
Abdominal ultrasound (to check spleen size)