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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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Actually, the situation of a compelling history and physical, but normal
clotting
studies, happens all the time.
- "I bruise all the time" has to be one of
the most common complaints in medicine.
- It was leaps and bounds the most common
complaint I heard, even though PT, aPTT and platelet counts were normal.
- By far, the most common bleeding or
bruising tendency known, is aspirin induced platelet dysfunction.
Quality vs. quantity again.
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- Certain types of von Willebrand disease may
not have a significantly prolonged aPTT.
- Also, factor XIII, the fibrin cross-linking
protein, is not measured by either PT or aPTT.
- A factor XIII deficiency leads to poor wound
healing and oozing of the injury.
- To the right is a cleaver little flowchart to help
with the situation of bleeding history, but normal clotting studies.
- If you can read the chart, your nose is too close to
the screen. Click on it if for the large print version.
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You've suffered enough. Before the quiz, I need
say thanks to those who helped.
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