Tolll 01 Like Medtruction Case Study Her Case Study 26 1 Bleed Pt 1 Apt Clot She Was Cr 1 During College And Relocated 1 (229.97 KiB) Viewed 27 times
Tolll 01 Like Medtruction Case Study Her Case Study 26 1 Bleed Pt 1 Apt Clot She Was Cr 1 During College And Relocated 2 (212.06 KiB) Viewed 27 times
tolll 01 like Medtruction CASE STUDY Her Case Study 26.1 Bleed PT 1 APT Clot She was Cr 1. during college and relocated to accept her first professional job. 2-year-old white woman had recently graduated from being seen for the first time by a local gynecolo- ist because of prolonged menstrual bleeding. Her medi- cal history included several episodes of severe nosebleeds childhood that required cauterization to arrest. She reported that her menses lasted from 8 to 12 days. When questioned about family illnesses or disorders, she reported that her mother and two sisters also had long menstrual periods and that one of her two brothers needed several blood transfusions after an appendectomy. pirsical examination revealed an essentially normal patient. However, she appeared pale, and several large bruises were noted on her extremities. The patient was referred to the outpatient laboratory for a hemoglobin, hematocrit, and coagulation profile. 2. 3. С i Laboratory Data Hemoglobin 10.0 g/L Hematocrit 27%
defects. Her coagulation profile results were as follows: Bleeding time 7 minutes (normal, 1 to 3 minutes) PT 11 seconds (control, 12.2 seconds) APTT 29 seconds (control, 34 seconds) Clot retraction decreased Critical Thinking Group Discussion Questions 1. What additional tests would be suggested based on the initial laboratory results? 2. What would the Wright-stained blood film look like? 3. What is the most likely diagnosis and prognosis? Glanzmann's thromba sthenia. NOTE: This is a good time to write out the answers to the Critical Thinking Group Discussion Questions.
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