COAGULATION UNKNOWN CONFERENCES

Guide for Coagulation Unknowns

• General approach to Unknowns
• WEB COAG : Decision Support System for Coagulopathy.

 

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1. Unknown Conference 1

• Case 1 : A 4 year-old boy presented with a marked bruising tendency of the arms and legs.
• Case 2 : A 42 year-old man brought to the emergency room with severe burn.
• Case 3 : A 32 year-old woman presented with a “rash” that appeared 3 days ago over her legs.

 

2. Unknown Conference 2

• Case 4 : A 21 year-old male seen in the emergency room with a swollen, tender right knee.
• Case 5: A 46-year-old woman S/P appendectomy with postoperative wound infection,received antibiotics, now patient begins to bleed from the surgical wound.
• Case 6 : A 10 year-old male admitted with symmetric swelling of upper thighs, with tenderness.

 

3. Unknown Conference 3

• Case 7 : A 45 year-old woman admitted with massive hemoptysis.
• Case 8 : A 73 year-old woman with acute rectal bleeding.
• Case 9 : A 55 year-old woman with renal failure, prolonged Bleeding Time.

 

4. Unknown Conference 4

• Case 10 : A 67 year-old man with deep-vein thrombosis and pulmonary embolus, on heparin, now with thrombocytopenia.
• Case 11 : A 60 year-old man, who travels from London to Houston on a business trip, needs to monitor Coumadin therapy.
• Case 12 : A 23 year-old woman status-post cholecystectomy, now with a prolonged bleeding time of 15 minutes.

 

5. Unknown Conference 5

• Case 13 : A 45 year-old man, S/P two-vessel coronary artery bypass procedure, now with bleeding from the surgical site.
• Case 14 : A 35 year-old man with evaluation of a lifelong tendency to bleed from superficial wounds.
• Case 15 : A 51 year-old man with history of chronic alcoholism, abnormal coagulation screen.

 

6. Unknown Conference 6

• Case 16 : A 36 year-old woman with SLE, DVT, on Heparin, with a need to monitor heparin therapy.
• Case 17 : A 75 year-old woman with Abdominal Aortic Aneurysm, S/P surgury, on heparin, now with thrombocytopenia.