“…4,9,10 Manually performed platelet counts are recommended in CKCS with macrothrombocytopenia because automated cell counting systems cannot distinguish enlarged platelets from red blood cells and thus underestimates platelet counts. 2,4,9 Different manual methods are available for determining platelet counts, including evaluation of blood smears and methods using erythrocyte-lysing agents followed by platelet counting in a counting chamber. 4,7,12 Manual methods, however, are time-consuming and dependent of the skill of the operator.…”