Hi, welcome to HCm, I am Dr. Das
first of all, the platelet level is 74000, not 7400.
When a patient has this level of platelet, first thing which is to be done is retesting platelet count
using the direct peripheral blood film.
Second thing is, if the platelet count is really low, then go for a bone marrow
study. Which will indicate what is the basic problem.
After this, you have to go for treatment depending upon the test report.
One more thing low platelet does not means ITP