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discos lommune At belonging to kew do cause sevene haemolytic discos Duffy, kidd sus ē now born CASE STUDY #2 Jeffrey C., a 5-year-old boy, was seen by a maxillofacial Surgeon to be evaluated for surgical repair of severe jaw misalignment. The youngster was deemed an appropriate candidate for surgery at this time, with a second surgery planned during his teen years to complete the correction. The child was adopted and no family history was available. He had no personal history of excessive bleeding or bruising. The pre-surgical CBC results including platelet count were within reference ranges. Pre-surgical hemostasis testing follows: Jeffrey C. Reference Range Prothrombin time 10.5 9.0 -12.0 sec APTT – 40.0 32.0-46.0 sec Bleeding time 1.0-9.0 min 7 QUESTIONS 1. Describe the principle and reagents for the prothrombin time and the APTT test. Jetor muro Jeffrey was taken to surgery but experienced excessive bleeding during surgery and continued oozing and bleeding postoperatively. Prothrombin time, APTT, and bleeding times performed postoperatively follow: Jeffrey C. Reference Range Prothrombin time 10.5 9.0 -12.0 sec 48.0 1 32.0 – 46.0 sec Bleeding time 8 V 1.0-9.0 min APTT 31 Pa -TER 9 Comubieta רלב 2. Assuming that the patient has a hemostatic system abnormality, a. Can the cause be narrowed by the results of the preceding screening tests? b. If yes, to what factor (s) of the hemostatic system is (are) the abnormality (les) confined? 3. What additional testing is indicated to identify the cause of Jeffrey’s continued bleeding, and what is the principle of this test?
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