Anemia and Thrombocytopenia

Shirley P. Levine, MD

Albert Einstein College of Medicine, Bronx, NY

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

This case was reviewed and updated in November 2011 by Dr. Howard Liebman and members of the Teaching Cases Subcommittee.


Vital signs are normal, except for a temperature of 100 °F. The patient’s exam is unremarkable. The patient has no detectable splenomegaly which can be associated with thrombocytopenia. The Neuro exam is non-focal. The patient has another neurologic episode while in the ER, causing a left facial droop and mild dysarthria. Within an hour, the symptoms and signs were resolved, and the exam is again non-focal. 

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