Thanks for all the tweets regarding further investigations!
In the “real world” I guess we have to prioritise the investigations required – think of our budget and workload!
A few have suggested von willebrand screen, which seems the most obvious next step in a patient who is stabilised. This screen can be requested by the current team and does not need specialist input.
VWF:Ag 65 (50-150 IU/dl)
VWF:Rico 25 (50-150 IU/dl)
FVIII binding assay 85% (70-200%)
Based on these investigations what would your differential be?
What could effect von willebrand screening results?
What are the criteria for making a diagnosis of von willebrand?
any further investigations now?