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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Dangerous Is Bleeding At Platelet Count Of 48 After Adenoid Removal Surgery?

Son (29 months)had adenoids removed and bleeding followed- immediately put under again to cauterize- but count was undetectable of platlets- placed in hospital to monitor overnight- this is day 2 and they have risen from 0/ 8/ 28/38/ now at 48. No test to compare to prior.... Could this be strictly due to sx? How dangerous is his risk for bleeding at 48? Should I consult ped oncology hematologist? I just wonder if pre- existing, ITP, or due to loss blood? And is follow up in. 2 weeks of blood count sufficient or should I be more proactive? Thx
Mon, 24 Nov 2014
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General & Family Physician,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. 48 is good and if is improving, not to worry.
2. Undetectable platelets was too dangerous and regular monitoring is necessary.
3. possibility of ITP is diagnosed based on bone marrow study or peripheral smear showing giant platelets.
4. 2 weeks followup is sufficient. If there are any bleeding spots superficially, go to ER immediately.
Hope it helps.
Any further queries, happy to help again.
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How Dangerous Is Bleeding At Platelet Count Of 48 After Adenoid Removal Surgery?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. 48 is good and if is improving, not to worry. 2. Undetectable platelets was too dangerous and regular monitoring is necessary. 3. possibility of ITP is diagnosed based on bone marrow study or peripheral smear showing giant platelets. 4. 2 weeks followup is sufficient. If there are any bleeding spots superficially, go to ER immediately. Hope it helps. Any further queries, happy to help again.