A 46-year-old woman S/P appendectomy. Patient developed postoperative wound infection shortly after appendectomy and received antibiotics for this. Now patient begins to bleed from the surgical wound. Pre-operative coagulation screen tests (before appendectomy) were normal.
The
patient had not previously been hospitalized, with the exception of obstetric
admissions.
Family
history was negative for any bleeding problems.
The
patient had been taking Glucophage for adult-onset diabetes and Vasotec for
hypertension.
Physical
examination revealed bleeding from the surgical wound with no obvious signs of
infection.
PT=
25 sec (Normal 8-11.5)
aPTT=
43 sec (Normal 24-37.5)
Plt=
190,000 /μL (Normal 150,000-350,000)