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Thoracic spine strain and low platelets

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My son, who is 20 yrs old. was in the ER last night for back pain when breathing in deeply. They diagnosed him with thoriaic spine strain. They did bloodwork and said that everything looked good but when I got home and looked at blood results it says the following are too high/low, which has me very concerned.:

MPV 10.9 High
Platelet Count 129 Low
Mono Absolute0.7 High

Can you please tell me if this is something to worry about? My son is a healthy 20 yr old who follows a healthy high protein diet and exercising 4xs a week. No other health concerns besides some joint soreness that comes and goes.

Thank you so much.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 23 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

I understand your concern and will try my best to help you. The back pain when breathing deeply could be due to a thoracic spine sprain, a pleurisy or a costochondritis (all are non serious conditions ). The blood count shows a slightly low platelet count and slightly high mean platelet volume. This is essentially a soft finding and can be considered normal. The slightly low platelets does not correlate with the symptoms and nor does it is significantly abnormal to warrant any further investigation. So for all practical purpose it can be considered normal. Platelet counts can be influenced by lot of factors ranging from method of blood collection to viral infections. You can go for a repeat blood test after 2-4 weeks to confirm that everything is normal.

High Monocytes actually show that the white blood cells are functioning well. These types of cells are supposed to go up and down depending on the body conditions. So worries here.

Hope this helps.
Please feel free to ask followup questions.

Thank you



Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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