miniCASE 11 SOLATORIO Age: 19yo Gender: female Signs & Symptoms: Sudden onset of dyspnea Swelling and tenderness

of right leg Lab results: Hgb 13.8g/dL Plt count 218,950/uL Hct 40.0% aPTT 57.2sec MCV 85fL Prothrombin time 12.1sec WBC count 8200/uL Mixing study: aPTT 57.2sec -----------------------------------------------------------------------------------------------------------------------------------------------------------------Guide questions: ANSWER EACH QUESTION CONCISELY. 1. Based on the signs and symptoms, which of the following choices is/are most likely? A. Antiphospholipid syndrome B. DIC C. Antithrombin III deficiency D. Vitamin K deficiency E. Hemophilia A 2. What is your final diagnosis? Eliminate (exclude) one by one the conditions that may not fit as you go along the diagnosis. You must explain why or how you re able to
exclude the other conditions and thereby getting the final diagnosis. (8 single spaces only). Maximize the space provided for. Enumerate (include all) the possible diagnoses based on the initial signs and symptoms. Mark your chosen answer/s by changing the font color to BLUE. In addition, you must provide reason/s why you did or did not consider such condition/s. Write your explanation beside each option. (2 single spaces only). Maximize the space provided for.

3. Explain the pathophysiology of the condition taking into consideration all the symptoms enumerated.
This process requires you to give a rationale for every single sign and symptom (including lab results and history, normal or abnormal) anchored to the diagnosis that you have. (15 single spaces). Maximize the space provided for.

-----------------------------------------------------------------------------------------------------------------------------------------------------------------REFERENCES: Follow the proper way of writing references. Use the space below.

Instructions:
Submit file in PDF. Submission is until 11PM on Monday December 30, 2013 to joannepanoy32@gmail.com All answers must be BLUE in color. Use Arial, size 10, single spaced. Paper size 8.5x13in. Criteria Points Criteria and Points Description If adhered to 99% of time Comprehensive 40 points Accurate 30 points Format 20 points On time 10 points thorough explanation of inclusion and exclusion leading towards the diagnosis; S/Sx and lab results are well-explained and anchored to the diagnosis able to give a correct answer on the guide questions supported by data and references followed the format provided including the references submitted one minute prior to deadline 38 28 19 10 a) b) c) Points If adhered to 75% of time 35 25 18 9 Points If adhered to 50% of time 30 20 16 6 Points If adhered to 25% of time 25 15 14 4