Diagnosis clusters will need to have one distinctive attribute in the database key in order to be stored. Rule out platelet clumping that may trigger false thrombocytopenia and abnormalities of the white or the pink blood cells пїЅ Consider bone marrow examination particularly in older patients to rule out occult myelodysplasia пїЅ Tests for antiplatelet antibodies usually are not helpful пїЅ Rule out thrombotic thrombocytopenic purpura or antiphospholipid-associated microangiopathic haemolytic anaemia (anaemia with pronounced reticulocytosis and fragmented erythrocytes within the peripheral smear; antiphospholipid antibodies or syndrome) Look for proof of lupus exercise in other organs (particularly main organs) пїЅ Determine severity: extreme: platelets