This document provides an overview of thrombocytopenia, including its definition, clinical significance, etiology, mechanisms, clinical approach, and initial workup. Thrombocytopenia is defined as a platelet count below 150 x 109/L and can be caused by decreased platelet production, increased platelet destruction, or platelet sequestration. A thorough history, physical exam, and initial lab workup including CBC, liver/renal function, coagulation profile, and infectious/autoimmune screening help determine the underlying etiology and guide further management.