Case Study:
A 36 yrs old woman is referred by her physcian for evaluation of a prolonged PT and APTT prior to a lymph node biopsy. The patient is suffering from a mild lymphoadenopathy (swelled lymph nodes), fatigue, and intermittent low grade fevers; she denies any bleeding symptoms. Medical history reveals that she had mild thrombocytopenia and a positive Coombs' test in the past. Her PT is 16.2 seconds (normal 12.1-14.6) and her APTT is 48 seconds (normal 24.5-34.5); the PT is 14.6 secondswith 1:1 mix with normal plasma, and the APTT is 36.8 seconds with an immediate 1:1 mixing study that increases by 1 second after 60 minutes at 37C. Her platelet count is 105,000/cumm. WHAT TESTS should be performed next
????
A 36 yrs old woman is referred by her physcian for evaluation of a prolonged PT and APTT prior to a lymph node biopsy. The patient is suffering from a mild lymphoadenopathy (swelled lymph nodes), fatigue, and intermittent low grade fevers; she denies any bleeding symptoms. Medical history reveals that she had mild thrombocytopenia and a positive Coombs' test in the past. Her PT is 16.2 seconds (normal 12.1-14.6) and her APTT is 48 seconds (normal 24.5-34.5); the PT is 14.6 secondswith 1:1 mix with normal plasma, and the APTT is 36.8 seconds with an immediate 1:1 mixing study that increases by 1 second after 60 minutes at 37C. Her platelet count is 105,000/cumm. WHAT TESTS should be performed next
تعليق