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Introduction
Very Sociable
Guy
Chest Pain
Girl with a Rash
England 1944
Trouble Healing
Morning Stiffness
Bruises Easily
Shortness of
Breath
Drug Interactions
Review
Thanks to
Quiz
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Mr. JH is a 24
year-old man who presents with substernal chest pain.
- Says it feels like he's swallowing
a flaming softball.
- He's diaphoretic with BP of
100/46 mmHg.
- His EKG is pretty diagnostic.
- How can this be?
- He's young.
- A nonsmoker.
- Family history positive for pulmonary
embolus and myocardial infarction in both sexes at a young age.
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- His
chemistries? His cholesterol must be off the map.
- His CBC?
- Clotting studies
- PT = 11 seconds (control value = 11
seconds)
- aPTT = 28 seconds (reference = 24 - 32
seconds)
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What are we leaving out?
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