Case 101 – update 2

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

Questions:

  1. How do you interpret these results?
  2. What further investigations do you want to perform?

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