Case 114 – Update 1!

Thank you for all your contributions. Following your requested information and initial investigations you now know:

Our 43 year old patient has previously been fit and well with no prior significant medical history. Over the past 2 weeks she has developed marked bruising – the largest of which is approximately 10cm on her thigh. She has no history of trauma and no personal or family bleeding history. She is feeling tired but has no other associated symptoms. She has no relevant travel history. She is not on any regular medications and does not drink in excess. She has Apart from the bruises her examination is unremarkable.

FBC: Hb 106, Plts 51, WCC 3.7, Neuts 1.2.

Blood film: confirms the above FBC differential but is otherwise unremarkable.

Coag: PT 27, APPT 45, Clauss Fibrinogen 0.9.

LFTs, UEs, Haematinics all normal.

Questions:

  1. What further investigations would you want to perform in this outpatient?

 

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