Browse categories and answer follow-up questions to refine your symptom profile.
Triage and Immediate Priorities
Immediate stabilization
Airway compromise from oropharyngeal bleeding
Early airway planning if active upper airway bleeding
Hemodynamic instability from hemorrhage
Massive transfusion protocol activation if ongoing shock
Life threatening bleeding sites
Intracranial hemorrhage concern
Gastrointestinal hemorrhage concern
Hemoptysis concern
Postpartum or gynecologic hemorrhage concern
High risk platelet thresholds
Platelets less than 10 x 10^9/L
Platelets less than 20 x 10^9/L with fever or sepsis
Platelets less than 50 x 10^9/L with active bleeding or planned invasive procedure
Rapid Confirmation and Reversible Causes
Rapid confirmation
Pseudothrombocytopenia exclusion
EDTA platelet clumping on smear
Repeat CBC in citrate tube if clumping suspected
Baseline comparison
Prior platelet trend if available
Acute drop greater than 50 percent from baseline
Medication and exposure stop points
Heparin exposure within 5 to 14 days or within 24 hours with prior exposure
Recent new drug within 1 to 2 weeks
Bleeding Risk Stratification
Bleeding phenotype
Mucocutaneous bleeding pattern
Petechiae
Purpura
Epistaxis
Gingival bleeding
Deep tissue bleeding pattern
Hemarthrosis
Retroperitoneal bleeding
Intramuscular hematoma
Red flag symptoms
New severe headache
Focal neurologic deficit
Melena or hematochezia
Hematemesis
Immediate Consult and Escalation Triggers
Escalation triggers
Platelets less than 10 x 10^9/L with any bleeding
Hematology consult
Suspected thrombotic microangiopathy
Plasma exchange capable center coordination
Suspected heparin induced thrombocytopenia with thrombosis
Immediate anticoagulation strategy change
Suspected DIC with active bleeding
Critical care involvement
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.