You are the IMT2 doctor on a gastroenterology ward. A 54 year old man has been admitted with decompensated alcoholic liver disease and has fevers with high CRP. As part of the ward round plan you have been asked to perform an ‘ascitic tap’ to determine whether he has spontaneous bacterial peritonitis (SBP). You review his admission blood tests from yesterday:
Hb 84, WCC 12.2, Plt 67
PT 22, APTT 45, Fibr 1.9
Does the patient require any blood product support before the procedure?
Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.
Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.
TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.