mazinger
Forum Guru
Topics: 46
Posts: 918
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I dont know 
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original mazinger z
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| frank100
Forum Guru
Topics: 48
Posts: 586
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A good clinical history is always the best pre op evaluation tool. because just from the beginning you can make a differential and send the most adecuate labs.
some surgeons choose: pt, ptt, and bleeding time (together), but iīve never seen any of them alone in a lab report...
(a) oh my...
(b) you can miss a liver disease
(c) my best option
(d) you can miss a hemophilia
(e) PTT alone?, tells you nothing.
my choice (c).
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| drk1980
Forum Guru
Topics: 147
Posts: 1,038
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i'm going on a hunch...bleeding time. Many a times history might not reveal much coz the patient wud hv lead a very safe life until this operation, so to speak.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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but CH stuff like.
easy bruisability (+)
bleeding gums (+)
OB GYN Hx: repeated first trimester abortions....
by doing a bleeding time you rule out a bleeding predisposition, but not a hypercoagulable state..., letīs say C and S protein deficiency...
If Hx concludes: HEALTHIER PERSON IN THE WORLD. THE MAJORITY OF HOSPITALS REQUIRE AT LEAST: pt and ptt.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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Iīd pick: clinical history.
CH has shown being more sensitive than any other LAB. thatīs why the first step in a regular consutation is clinical history, and of course physical exam.
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| veens
Forum Junior
Topics: 4
Posts: 64
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even i wld go with clinical history,it gives in, the initial clue to help with further mx
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