Clinical Case: A patient with thrombocytopenia is scheduled for surgery. Does he need platelet transfusion?

67 yo CM with a myelodysplastic syndrome has a platelet count of 11/microL.

He is found to have pulmonary nodules on CT scan of the chest and is scheduled for a bronchoscopy with biopsy of the nodules tomorrow.

What is the safe platelet count for a surgical procedure?

Does he need platelet transfusion?

Continue reading on ClinicalCases.org.

Image: A 250 ml bag of newly collected platelets. Wikipedia.

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