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Category Archives: Anticoagulation
Case 58 – summary
We covered a lot of issues this week. Here is a link to the case on Storify: https://storify.com/TeamHaem/case-58-teamhaem-does-dvt Our patient was a 37 year old female with left leg swelling. She had no major medical problems and was on no … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, coagulation, d-dimer, DVT, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 4
Our patient has a confirmed left sided DVT. Prior to initiation of anticoagulation a clotting screen is performed. It shows: PT 12s (11-14) APTT 49s (35-40) Fibrinogen 5.5g/L (1.5-4) d-dimer 990ng/mL (<500) Questions How do you interpret the results? … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, Antiphospholipid, d-dimer, DRVVT, DVT, Lupus anticoagulant, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 3
Our patient has a swollen left leg and an intermediate Wells’ score but a positive d-dimer result. She goes on to have an ultrasound of her lower limb. There is debate on whether to do a full leg ultrasound scan … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, d-dimer, DVT, malignancy, Swollen leg, ultrasound, VTE, wells score
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Case 58- update 2
Our patient has a possible DVT. She has a painful, swollen left leg with some mild erythema. The Wells’ score is 1 and therefore a d-dimer test is required. Had the score been 2 it would be reasonable to move to … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, d-dimer, DVT, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 1
Thanks for the contributions so far. We have established that our patient is a 37 year old female and has presented to her general practitioner with a swollen left leg. She had a recent car journey of 90 minutes … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged d-dimer, DVT, pregnancy, Swollen leg, VTE, wells score
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Case 58 – the beginning
Welcome back to TeamHaem. Please read the case below then make some comments/answer the questions on Twitter using #TeamHaem. A 37 year old female presents to her general practitioner with a swollen leg which has gotten worse over the … Continue reading
Case 37 part 2 – summary
The key to this mini case was the history. The patient had had numerous previous operations without problems. Therefore inherited bleeding disorder is unlikely. The clotting screen had previously been normal so an acquired problem is what we’re dealing with. … Continue reading
Posted in Anticoagulation, Inherited bleeding
Tagged APTT, coagulation, FFP, Heparin
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Case 37 part 2 – update 1
Here are some results that may help: PT 14s (11-14s) APTT 56s (33-40s) Fibrinogen (Clauss) 6.9g/L (1.5-4.5g/L) Thrombin time 38s (15-19) Questions What has happened here? Please reply to us (@teamhaem) on Twitter and always include #teamhaem to allow others … Continue reading
Case 37 part 2 – the beginning
The APTT can be rather sneaky at times! In part one of this case we saw how the APTT can be prolonged in factor deficiencies. You are working in a small hospital and the surgical team request fresh frozen plasma for … Continue reading
