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Coagulation Disorder Jeopardy
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Ddx Clinical Lab TestsManagement
Miscellaneous
Category 1 - 200
Inc. INR, Norm PTT
Category 1 - 400
Inc PTT, but no bleeding problems
Category 1 - 600
Inc INR and Inc PTT
Category 1 - 800
Inc INR, Inc PTT, Dec platelets
Category 1 - 1000
Norm INR, Norm PTT, Norm platelets, but
bleeding
Category 2 - 200
Most common bleeding sites in Hemophilia A
Category 2 - 400
Complications of muscle hematomas
Category 2 - 600
Bleeding sites in vWD
Category 2 - 800
Skip a turn :-)
Category 2 - 1000
How to distinguish Hemophila A from
Hemophilia B clinically
Category 3 - 200
Difference between Hemophilia A and vWD in
lab tests
Category 3 - 400
INR tests these Factors
Category 3 - 600
Most important lab test in initiating Ddx in pt with lifelong hx of bleeding
Category 3 - 800
Most likely cause of Inc INR and PTT
Category 3 - 1000
3 lab tests useful in identifying congenital coagulation disorders
Category 4 - 200
Management of acute life-threatening bleeds
Category 4 - 400
Treatment for mild to moderate Hemophilia A
Category 4 - 600
Management of superficial laceration in
Hemophilia A pt
Category 4 - 800
Treatment for severe vWD
Category 4 - 1000
Treatment of Hemophilia B
Category 5 - 200
Timeframe of trauma bleeding expected in
Hemophilia A pts
Category 5 - 400
Management of head trauma Hemophiliac pt
Category 5 - 600
Major cause of death for all age groups of Hemophiliac pts
Category 5 - 800
Skip a turn:-)
Category 5 - 1000
Complications of repeated replacement
therapy for Hemophiliac pts
The Case of the Bleeding Patient
Rebecca Burton-MacLeod
August 28, 2003
Case
• 18mo male presents to ED with large bruise on forehead
• mother states pt fell and hit head on coffee-table 2 days ago
• bruise appeared next day, not going away
• otherwise well
Case Continued
• To reassure mother nothing is wrong:
• order CBC, INR, PTT
• surprise--Inc PTT, Norm INR, Norm CBC
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