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?
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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