Question

A patient is admitted to the hospital with recurrent venous thrombosis. His admitting coagulation studies reveal:...

A patient is admitted to the hospital with recurrent venous thrombosis. His admitting coagulation studies reveal:

PT:                               11 sec

APPT:                          27 sec

1. What are some probable reasons for this patient’s thrombosis?

2. What clinical information should be provided?

3. What additional test should be performed to help resolve this problem?

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Answer #1

1.shortened APPT level suggesting thrombo emboli.the anticoagulation therapy is the only treatment to venous thrombosis.In patients under the treatment of anticoagulant therapy is associated with a risk of major bleeding.it is there for usual to stop anticoagulation 6 month after a 1st episode of DVT.

2.clinical information include bleeding time,clotting time,duration and site of pain,continuos monitoring etc.

3.duplex ultrasound is the first line investigation for recurrent venous thrombosis.

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