Tag Archives: warfarin

Case 70 – part 1 – summary

So our patient was a 75 year old male who has a PMH of NIDDM, HTN, AF and a previous bioprosthetic AV replacement. He is anticoagulated for AF with a CHADS2 score of 3 – which is an annual stroke … Continue reading

Posted in Anticoagulation, Related to other specialities | Tagged , , , , , , ,

Case 70 – part 1 – the beginning

Welcome to our cases this week. This week we will do 3 short cases looking at anticoagulation and perioperative management around elective and emergency surgery. Our first case is a patient who is being seen pre operatively. The patient needs … Continue reading

Posted in Anticoagulation, Related to other specialities | Tagged , , , , , , ,

Dermatology short cases: case 2 (answers)

Case two was, as so many of you rightly identified, a case of warfarin induced skin necrosis. This is a rare condition but is clearly potentially devastating and is the reason that all patients starting on loading doses of warfarin … Continue reading

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , | Leave a comment

Dermatology short cases: case 2

What is the cause of this lesion? And if you know the answer…why does it happen? Please reply in twitter and use the #teamhaem hashtag. All comments are welcome, so join in the debate! Case Three will follow soon.

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , | Leave a comment

Case 6 – summary

Beriplex use for warfarin reversal Using the BCSH guidelines, we can identify that this patient requires reversal of warfarin immediately, given the history of a possible fall (head injury) and the history of amnesia. Major bleeding is defined as limb … Continue reading

Posted in Acquired bleeding, Anticoagulation | Tagged , , , , , | Leave a comment

Case 6 – update 2

So …. CT confirms a subdural bleed and the patient has recieved beriplex at a dose of 30 units/kg and vitamin K 2mg IV.  Initial INR was 2.6 and repeat INR 30mins following beriplex was 1.2.    Discussion with neurosurgeons … Continue reading

Posted in Acquired bleeding, Anticoagulation | Tagged , , , , , | Leave a comment

Case 6 – update 1

20 minutes after his son reports that he appears more confused.  On review you note a slight facial droop, his speech is a little slurred, and he is definitely more confused.  His daughter has brought in a list of medications … Continue reading

Posted in Acquired bleeding, Anticoagulation | Tagged , , , , , | Leave a comment

Case 6 – the beginning

You are working a night shift in A&E.  A 82 year old gentleman attends with his son.  The son reports that his father had a fall earlier that day.  The son was in the house, but did not witness the fall.  … Continue reading

Posted in Acquired bleeding, Anticoagulation | Tagged , , , , , | 1 Comment