Case 64 – part 2a

A 31 year old female is in pre-assessment clinic for an elective laparoscopic cholecystectomy for gallstones. She has no other major medical problems although she does say that she bruises easily after trauma. She also has heavy periods which are managed with the combined oral contraceptive pill. She has no children and has not had any major surgical procedures. She takes the pill and iron tablets. Coagulation screen reveals:

 

  • PT 13s (11-14s)
  • APTT 38s (33-40s)
  • Fibrinogen (Clauss) 4.1g/L (1.5-4.5g/L)

 

She is listed for surgery for six weeks time.

 

Questions

  • Is there any further information that may be useful?
  • What do you think of the clotting results?

 

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

 

 

 

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