Thrombocytopenia is only a symptom and its cause must be ascertained. Classical manifestations of thrombocytopenia are skin bruising, petechiae and bleeding from mucous membrane (gums and nose). Bleeding may also occur in the GI and urinary tracts. Menorrhagia may also occur. Bleeding is usually an indication for hospitalization. Many drugs cause thrombocytopenia and such drugs must be stopped unless their continuation is vital to patient's recovery. Symptomless patient with platelet count between 100,000 to 150,000/ dL can be safely followed up by the family physician.


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