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Heparin-induced thrombocytopenia awareness — GPhC CRA MCQ

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HardAdverse Drug Reactions and Drug SafetyHeparin-induced thrombocytopenia awarenessGPhC CRA

A patient recently discharged after surgery was given heparin injections in hospital. He now has a painful swollen leg and a platelet count flagged as low on discharge paperwork. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Refer urgently for assessment of possible thrombosis and heparin-induced thrombocytopenia

Heparin-induced thrombocytopenia is uncommon but serious and can be associated with thrombosis despite low platelets. A painful swollen leg after heparin exposure requires urgent assessment. Over-the-counter treatment could delay diagnosis. Restarting heparin without specialist advice could be dangerous.

Reference: BNF; NICE CKS