She is treated for vitamin K deficiency and prescribed 10mg vitamin K IV for a further 2 days.
36 hours after admission you are called because she had developed epistaxis and frank haematuria.
Repeat bloods show:
- Hb 89 g/l
- MCV 82 fl
- WCC 14.5 x 109/l
- Platelets 455 x 109/l
- PT 132 seconds
- APTT 102 seconds
- Fibrinogen 6 g/L
- How do you interpret these results?
- What further investigations do you want to perform?