Evaluation of Burr Cells (Echinocytes) and Large PlateletsDiagnostic Priorities for EchinocytesUrgent Exclusion of Thrombotic Microangiopathy (TMA)Hemolysis AssessmentPyruvate Kinase (PK) DeficiencyLaboratory Work‑Up Algorithm (General)Large Platelet AssessmentMyelodysplastic Syndromes (MDS) Consideration