You are working in the emergency department of a district general hospital. Parents bring a three day old child in for assessment as he has been non-specifically unwell, looking pale and feeding poorly. He was born at term by spontaneous vaginal delivery and was allowed home a day later. APGAR scores were 9 at one and five minutes. He has some bleeding around his umbilical stump so a FBC and coagulation screen were checked:
- FBC – within reference range
- PT 19s (12-14 adult)
- APTT 89s (30-38 adult)
- Clauss fibrinogen 2.5g/L (2-4)
- Glucose – normal
- What are your differential diagnosis of the coagulation results?
- What are you concerned about with the baby?
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