Case 37 part 3 – the beginning

Welcome back. Case 37 has focused around an abnormal APTT. This is a common finding in the routine coagulation screen. It is important to investigate appropriately to avoid delayed procedures and patient anxiety. The first case had a factor XII deficiency and the second case was contaminated with heparin.

You are reviewing the results of a patient who has been admitted via the emergency department. She has type II diabetes and has been admitted with community acquired pneumonia. Results reveal:

  • PT 14s (11-14s)
  • APTT 48s (33-40s)
  • Fibrinogen (Clauss) 4.9g/L (1.5-4.5g/L)

Questions:

  • Based on the previous cases how do you approach this problem?
  • Should she receive prophylactic LMWH?

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

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