Thrombocytopenia in the Hospitalized Patient

How consultants frame risk, assign weight, and act as platelet trajectories evolve

Orientation · Thinking · Execution

The cognitive structure behind expert consult judgment under uncertainty. In this terrain, the platelet count is a signal, not a diagnosis. Risk depends on context, trajectory, and physiologic reserve, not the number alone. Consultants must decide when thrombocytopenia reflects expected reactive physiology, when it signals evolving danger, and how much uncertainty can safely be carried forward without premature escalation or reassurance.

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