Tag Archives: coagulation screen

Case 74 – summary

Posted on 24/03/2017 by TeamHaem

Thankyou for your input this week!This week we had a look at a few abnormalities that can be seen on coagulation screens in a pre procedure setting. The first thing to say is there is no replacement for a good … Continue reading →

Posted in Acquired bleeding, Anticoagulation, Inherited bleeding | Tagged anticoagulation, APTT, coagulation, coagulation screen, factor deficiency, Factor XII, haemophilia A, Prolonged APTT

Case 74 – part 3

Posted on 23/03/2017 by TeamHaem

We have our 3rd and final case of the week! A 40 year old man who has a vasculitis ,who has been requiring plasma exchange, needs to have a new line put in for exchange. The renal team are concerned … Continue reading →

Posted in Acquired bleeding, Anticoagulation | Tagged APTT, coagulation, coagulation screen, Heparin, Prolonged APTT, Thrombin time

Case 74 – part 2

Posted on 21/03/2017 by TeamHaem

So our second case starts with a phone call from the anaesthetic consultant in the pre op clinic. He has a 20 year old man that needs a wide excision of a suspicious mole on his back. He has been … Continue reading →

Posted in Acquired bleeding, Inherited bleeding | Tagged APTT, coagulation, coagulation screen, factor deficiency, Factor VIII, haemophilia A, Prolonged APTT

Case 74 – part 1

Posted on 20/03/2017 by TeamHaem

Welcome to our new teamhaem cases!This week we will run through some short cases with pre operative coagulation screen abnormalities! Our first patient is a 25 year old male who has been admitted to the surgical assessment unit with abdominal … Continue reading →

Posted in Acquired bleeding, Inherited bleeding | Tagged APTT, coagulation, coagulation screen, factor deficiency, Factor XII, Prolonged APTT

Case 64 – part 2 – summary

Posted on 11/09/2016 by TeamHaem

The main aim of this case was to remember that the coagulation screen alone is not suitable for ruling out a bleeding disorder. The most common inherited bleeding disorder frequently will have a normal clotting screens. Indiscriminate clotting screens are … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, DDAVP, preoperative assessment, type I vWD, Von willebrands disease

Case 64 – part 2b

Posted on 11/09/2016 by TeamHaem

Further questioning of our pre-operative patient reveals she has easy bruising without trauma and has required cauterisation for epistaxis in the past. She bled after a tooth was removed and had to see the dentist following the procedure due to … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, preoperative assessment, type I vWD, Von willebrands disease

Case 64 – part 2a

Posted on 10/09/2016 by TeamHaem

A 31 year old female is in pre-assessment clinic for an elective laparoscopic cholecystectomy for gallstones. She has no other major medical problems although she does say that she bruises easily after trauma. She also has heavy periods which are managed … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, preoperative assessment

Case 64 – part 1 – summary

Posted on 09/09/2016 by TeamHaem

We started with a 72 year old gentleman who was having an elective pacemaker insertion. He had an isolated prolonged APTT and we have previously used the following flow chart to make a diagnosis: It should be remembered that … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, DDAVP, Factor VIII, FFP, haemophilia, haemophilia A, preoperative assessment, Von willebrands disease

Case 64 – part 1c

Posted on 08/09/2016 by TeamHaem

Our patient has a long APTT and has a haematoma and extensive bruising following pacemaker insertion. He is not on any anticoagulation, but does not have any previous clotting screens to compare to. Given the bleeding history, FFP is administered … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, Factor VIII, FFP, haemophilia, haemophilia A, preoperative assessment

Case 64 – part 1b

Posted on 07/09/2016 by TeamHaem

The patient with abnormal clotting resulst goes ahead with his planned pacemaker insertion. There is no major bleeding during the procedure but afterwards there is a large haematoma around the pocket with extensive bruising. Repeat clotting screen shows: PT … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, haemophilia, haemophilia A, preoperative assessment

Case 64 – part 1a

Posted on 06/09/2016 by TeamHaem

This week we’re going to present a series of short cases around clotting results. Hopefully we’ll demonstrate when coagulation screens should be used and also how to interpret basic abnormalities. It most be noted that different labs will use different … Continue reading →