Case 37 part 2 – the beginning

The APTT can be rather sneaky at times! In part one of this case we saw how the APTT can be prolonged in factor deficiencies.

You are working in a small hospital and the surgical team request fresh frozen plasma for a patient prior to surgery. The patient is 42 years old and female and has short bowel following resection for Crohn’s disease. She needs to go for another procedure, but the coagulation profile shows:

  • PT 14s (11-14s)
  • APTT 56s (33-40s)
  • Fibrinogen (Clauss) 6.9g/L (1.5-4.5g/L)
  • FBC – normocytic anaemia

Questions:

  • How do you approach this problem?
  • Is FFP the best way forward?

Please reply to us (@teamhaem) on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Anticoagulation and tagged , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s