Thrombocytosis: The Daily PANCE Blueprint
A 68-year-old male with a history of hypertension presents to the ER complaining of a cough and chills. Vitals reveal hypoxemia (SpO2 86%) and a fever (39C). Labs reveal leukocytosis (WBC 23K/uL), thrombocytosis (480,000 platelets/mcL), and elevated procalcitonin (15.32ng/mL). Chest radiograph demonstrates a new opacity in the right middle lobe. Which of the following best explains the cause of the thrombocytosis?
A. Likely an underlying myelodysplastic syndrome
B. From an undiagnosed rheumatic disease
C. Due to an acute hemolytic anemia
D. It's a reactive process to the infection
E. None of the above
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Hematology ⇒ Cytoses ⇒ Thrombocytosis
Also covered as part of the Emergency Medicine EOR topic lists
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