More from Jason Freed
I rule out hemolysis if any anemia, even if mild. I check HBV in case I want to use rituximab later. I check PT/PTT, LFTs on everyone. I don’t do quantitative immunoglobulins without a suggestive history. I don’t do h. pylori unless GI symptoms since I’m not convinced by the data that treating it helps ITP in unselected populations. I also find that testing and treating for h. pylori ends up being a distraction from the more important tests/treatments that the patient needs, but I also am not strongly opposed given how benign it is.