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These abnormalities may suggest bone marrow problems as the potential cause of thrombocytopenia. Abnormally shaped or ruptured red cells (schistocytes) seen on the blood smear may suggest evidence of HELLP, TTP, or HUS (see above). Another clue in the CBC is the mean platelet volume or MPV, which is an estimate of the average size of platelets in the blood. A low MPV number may suggest platelet production problem, whereas, a high number may indicate increased destruction.

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