ssrpk
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A 70 yr old male having osteoarthritis undergoes surgery for removal of his prostate (TURP);during surgery he starts bleeding and it does'nt stop. Lab shows normal platelet count and normal PT and PTT .
what do u think is the cause of his excess bleeding and how u gonna manage it?
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| phuluong2k
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is it due to the quality of platelet ?
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| ssrpk
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lemme also add....
Ristocetin assay is normal ; in case u are thinking abt VW disease!
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| att
Forum Senior
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transfuse new platellets as number of platelletes are normal but they not able to adhere or non functioal.
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| ssrpk
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exactly!
the pt is hving OA ... probably taking aspirin ......rendering the platelets nonfunctional......best management  latelet infusion
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| gooshipoh
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probably aspirin related. plts not functional
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| ureterpolyp
Topics: 2
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HAHA, iT'LL WILL BE WIERD FOR THEY DIDN'T CHECK HIS HEMASTASES FUNCTIONS BRFORE SURGERY
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| azygous1
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might sounds funny...when my boss in surgery doing TURP and bleeding starts...he uses to wash with ice cold saline and wait for few min...bleeding uses to subsides..lol :lol:
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| ssrpk
Forum Fanatic
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hey guyz....this is just a theoretical question tht Dr.Goljan mentioned during his lectures.......
q's on step1 may or may not be applicable in practical life....period!
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