Your Name: Harshil dhutia

Theme: Coagulation

 

OPTION LIST

 

A

Lupus type anticoagulant

I

 

B

Autoimmune Thrombocytopenia

J

 

C

Haemophilia A W

K

 

D

Warfarin Deficiency

L

 

E

Liver disease

M

 

F

DIC

N

 

G

Von Willebrand's disease

O

 

H

Megaloblastic Anaemia

P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 25 year old female is found to be anemic by her GP. Her Hg is 7.0 g/dl, Hct is 21%, and her MCV is 60. She reports heavy menstrual bleeding throughout her life. She also complains of epistaxis and a "funny rash" on her lower extremities whenever she takes aspirin. Her mother needed several transfusions with delivery of each of her children.

 

2. A 35 year old man presents to casualty with severe breathlessness and fever. A Chest –X-ray reveals lower lobe consolidation. An hour later, he becomes unconscious. He becomes hypotensive and oliguric. His heart rate has is now 120 bpm. He develops a petechial rash.

 

3. A 45 year old veteran comes to the emergency room complaining of "vomiting up blood." The patient reports a long history of ethanol abuse drinking up to one quart of vodka and two six packs of beer daily for the past 8 years. After stabilizing the patient and awaiting evaluation from the GI service, his coagulation tests appear on the computer. His PT is elevated at 16 seconds and his aPTT is slightly elevated as well. A 35 year old presents to casualty with severe breathlessness and

 

4. A 3 year old boy presents with a painful left elbow after mild trauma. Evaluation reveals a hemarthrosis. The child is adopted so no family history is available. The patients mother reports no other problems with the child. A PT is normal, an aPTT is prolonged.

 

5. A previously healthy 55 year old woman present for a routine rhinoplasty. She has had 2 previous cesarean sections and several dental procedures without bleeding complications. You are called by her surgeon preoperatively to evaluate her coagulation test which reveal a normal PT and an elevated aPTT of 42 seconds

 

ANSWERS

1. G

2. F

3. E

4. C

5. A