A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Questions: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show: Platelet Count: 180,000/cumm PT: 12 sec APPT: 72 sec TCT or thrombin time: 10 sec Fibrinogen: 225% Additional laboratory studies reveal: (Mixing Studies) Normal plasma: 20% 50% 80% Patient plasma 80% 50% 20% Repeat APPT: 72 sec 70 sec 68 sec Questions: What additional Laboratory test to confirm the diagnosis? Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter25: Cardiovascular Drugs
Section: Chapter Questions
Problem 6CRQ
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Question
A 62-year-old man is initially seen in the Emergency Room complaining of difficulty with speech and swallowing due to an enlarged tongue. Physical examination also reveals a large, sublingual hematoma. In addition, multiple ecchymoses of his skin are noted. He has no history of trauma nor has there been any pervious episodes of bleeding. Coagulation studies show:
Platelet Count: 180,000/cumm
PT: 12 sec
APPT: 72 sec
TCT or thrombin time: 10 sec
Fibrinogen: 225%
Additional laboratory studies reveal: (Mixing Studies)
Normal plasma: 20% 50% 80%
Patient plasma 80% 50% 20%
Repeat APPT: 72 sec 70 sec 68 sec
Questions:
- What additional Laboratory test to confirm the diagnosis?
- Give the relevance of the laboratory tests ordered to the case. Why it is necessary?
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