Bleeding disorder. A 3-year old girl was brought to A&E by her father. Following a minor...
Bleeding disorder.
A 3-year old girl was brought to A&E by her father. Following a minor fall several hours ago, the child was still bleeding from the mouth. Her father said that she did have a tendency to bleed for longer than expected following immunization. However, there was no history of bruising or haematomas. There was no known family history of a bleeding disorder.
A full blood count, PT AND aPTT were ordered and the result were follows:
Full blood count : WBC: 7.9 X 10^9/L;
RBC: 5.1 X 10^12/L;
HGB: 12.3 g/dL;
HCT: 35.4%;
MCV: 84 fL;
PLT: 350 X 10^9/L;
MPV: 9.4 fL
PT/ INR: 1.1 (0.8- 1.2)
aPTT: 39.0 s (21-35 s)
Blood group (ABO): B
What do these results tell you and why?
What follow up tests should be requested at this time? Explain the reasoning for your selections.
Blood film, PFA-100, PT, aPTT, Thrombin time, Fibrinogen, Mixing test, Factoe assays, Flow cytometry.
Homework Answers
they are used to measure prothrombin time and actuivated partial thrombinplastin time it is used to clot to form certain reagents are added to blood sample , it is an essential platlet function estimated platelet function , to evaluate the bloog coagulation , heparin anticoagulant therapy
Add Answer to:
Bleeding disorder.
A 3-year old girl was brought to A&E by her father.
Following a minor...
This is the case of a 4 year old boy who presents with the recent history...
This is the case of a 4 year old boy who presents with the recent history of vomiting blood one week after a tonsillectomy. Two years ago he bit his tongue and it bled one week. His maternal grandfather has a history of frequent bleeding problems. His mother, father, and two sisters have no bleeding problems. INITIAL LABORATORY TESTS: Hct: 30.0% WBC: 5,300 mm³ Platelet count: 395,000 mm³ Bleeding time: normal Clot retraction: good at 2 and 24 hours PT:...
• 15-year-old male, Mohammed, from Saudi Arabia - Admitted to the ER after automobile accident ....
• 15-year-old male, Mohammed, from Saudi Arabia - Admitted to the ER after automobile accident . Several superficial cuts and bruises on head and arms • Bleeding profusely, more bleeding than expected from the nature of his wounds . Consider possible causes of this abnormal bleeding and the lab tests that might be used to differentiate and diagnose the cause. • Petechiae were noted on Mohammed's extremities. Blood work was ordered Laboratory Studies Hematology WBC 10.5 x 10°/L RBC 2.3...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever,...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and a lack of stamina in activities he typically performs (work, sports). He recently noticed excessive bleeding from his gums after brushing his teeth. On physical examination, his physician noted lymphadenopathy and multiple petechiae on his torso, arms and legs. A CBC with differential and a coagulation panel were ordered. The results are as follows: CBC WBC (x 109/L) 25.0 RBC (x 1012/L) ...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and...
A 43-year-old man is seen by his primary care physician. He complains of excessive tiredness and a lack of stamina in activities he typically performs (e.g., work, sports). He recently noticed excessive bleeding from his gums after brushing his teeth. On physical examination, his physician noted lymphadenopathy and multiple petechiae on his torso, arms and legs. A CBC with differential and a coagulation panel were ordered. The results are as follows:CBC WBC (x 109/L) 25.0 RBC (x 1012/L) ...
CLINICAL CASE 3/2 Lymphatic System and Immunity A 61-year old male with a past medical history of chronic ob...
CLINICAL CASE 3/2 Lymphatic System and Immunity A 61-year old male with a past medical history of chronic obstructive pulmonary disorder (COPD) was recently admitted for left-sided pneumothorax. He underwent chest tube placement and pleurodesis and was discharged home. Three days later, he returned to the Emergency Room with shortness of breath, cough, and left-sided pleuritic chest pain. A CT scan of the chest showed left upper lobe lung consolidation consistent with pneumonia, a moderate left pleural effusion, and giant...
• 15-year-old male, Mohammed, from Saudi Arabia - Admitted to the ER after automobile accident . Several superficial cuts and bruises on head and arms • Bleeding profusely, more bleeding than expected from the nature of his wounds . Consider possible causes of this abnormal bleeding and the lab tests that might be used to differentiate and diagnose the cause. • Petechiae were noted on Mohammed's extremities. Blood work was ordered Laboratory Studies Hematology WBC 10.5 x 10°/L RBC 2.3...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
CLINICAL CASE 3/2 Lymphatic System and Immunity A 61-year old male with a past medical history of chronic obstructive pulmonary disorder (COPD) was recently admitted for left-sided pneumothorax. He underwent chest tube placement and pleurodesis and was discharged home. Three days later, he returned to the Emergency Room with shortness of breath, cough, and left-sided pleuritic chest pain. A CT scan of the chest showed left upper lobe lung consolidation consistent with pneumonia, a moderate left pleural effusion, and giant...
Most questions answered within 3 hours.
-
Let C = (2.25 m, 15 ∘ above the negative x-axis) and D = (30.6
m,...
asked 1 minute from now -
of the following statements below is/are an example of a
normative statement?
I. The water shortage...
asked 14 seconds ago -
Carbon disulfide is prepared by heating sulfur and charcoal. The
chemical equation is
S2(g)+C(s)−⇀↽−CS2(g) Kc=9.40 at...
asked 4 minutes ago -
complete the problem and solution paragraph below, include 2-3
causes and 2-3 solutions for them.
remember...
asked 6 minutes ago -
I was looking for help with a computer science c programming
class. not c++
This program...
asked 30 minutes ago -
Albinism is an autosomal recessive condition characterized by
absence of melanin pigment from the skin, eye...
asked 20 minutes ago -
Suppose you're looking at a physics example online, and come
across this expression in the middle...
asked 28 minutes ago -
Compile a list (7 or more) of other commands useful for
navigating or manipulating the UNIX/Linux...
asked 37 minutes ago -
How many grams of PbBr2 will precipitate when excess CrBr3
solution is added to 61.0 mL...
asked 40 minutes ago -
If I was given the address of 134.15.0.0/16 from my ISP and I
wanted to use...
asked 45 minutes ago -
What is the pH of the solution that results of dissolving 1.74g
of sodium hydroxide in...
asked 48 minutes ago -
Given a standardized normal distribution (with μ = 0 and a σ =
1), what is...
asked 1 hour ago