The most common cause of Hypercoagulable state in this patient - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-18-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 506 Times in 232 Posts
Reputation: 516
Blood The most common cause of Hypercoagulable state in this patient

20 YO Caucasian female, has a history of recurrent proximal DV, with a couple of times, she developed PEs, in one occasion she had an arterial thrombosis, you suspect a hyper-coagulable state, which of the following is most likely diagnosis:

1. Factor Five Leiden mutation.
2. Protein C deficiency.
3. Anti-thrombin III deficiency.
4. Lupus anticoagulant.
5. Prothrombin mutation.

Reply With Quote Quick reply to this message
The above post was thanked by:
anonyme (09-18-2011), dryogi (09-19-2011), step1an (09-18-2011)



  #2  
Old 09-18-2011
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 373
Threads: 30
Thanked 375 Times in 160 Posts
Reputation: 385
Default

I m not sure, Factor Five Leiden mutation is the most common but AT III causes a more severe disease.
So would go with Factor 5 Leiden.
__________________
Knowing is not enough; we must apply.
Willing is not enough; we must do.
Reply With Quote Quick reply to this message
  #3  
Old 09-18-2011
busterbee's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CK
Posts: 218
Threads: 16
Thanked 110 Times in 59 Posts
Reputation: 120
Default

1. Factor Five Leiden mutation.
most common cause
__________________
you are born with wings, don't walk through life
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
 
  #4  
Old 09-18-2011
heights's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 557
Threads: 69
Thanked 1,041 Times in 351 Posts
Reputation: 1061
Default

1. Factor V Leiden is most common, other causes are relatively rare.
Reply With Quote Quick reply to this message
  #5  
Old 09-18-2011
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 239
Threads: 3
Thanked 48 Times in 37 Posts
Reputation: 58
Default

1. Factor Five Leiden mutation.
__________________
I'm Predictable In The Unpredictable Future !
Reply With Quote Quick reply to this message
  #6  
Old 09-19-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 506 Times in 232 Posts
Reputation: 516
Default

The correct answer is lupus anticoagulant. All of the mentioned options are among the causes of hypercoagulable state, and we can add to the list many others like protein C & protein S deficiencies. We know factor five Leiden is the most common especially among European descent. BUT remember all of them give venous thrombosis, the ONLY one, that can give arterial thrombosis is lupus anticoagulant.
Reply With Quote Quick reply to this message
The above post was thanked by:
1TA2B (09-19-2011), 7th_dance (04-12-2016), aasiaafzal (09-19-2011), dinosaur108 (09-19-2011), dryogi (09-19-2011), lepidoptera (09-20-2011), step1an (09-19-2011)
  #7  
Old 09-19-2011
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 239
Threads: 3
Thanked 48 Times in 37 Posts
Reputation: 58
Default

thnx, really a nice question.. plz keep it up !
__________________
I'm Predictable In The Unpredictable Future !
Reply With Quote Quick reply to this message
  #8  
Old 09-19-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 506 Times in 232 Posts
Reputation: 516
Default

You are welcome.
Reply With Quote Quick reply to this message
  #9  
Old 09-19-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,260 Times in 881 Posts
Reputation: 3270
Default

Arterial & venous trombosis:

- hyperhomocystinemia
- lupus anticoagulant
Reply With Quote Quick reply to this message
The above post was thanked by:
ag2011n (09-19-2011), dinosaur108 (09-19-2011)



Reply

Tags
Hematology-, Internal-Medicine-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
ny state electives restrictions prion.pk USCE & Clinical Rotations 0 08-08-2011 09:40 AM
NY State Licensure requirements jmarkmd IMG/FMG Forum 5 06-23-2011 05:20 AM
steady-state concentration aktorque USMLE Step 1 Forum 9 02-15-2011 06:35 AM
Unrestricted state medical license for this state good_boy_1234 IMG Residency Match Forum 5 09-09-2010 05:57 AM
Causes of Hypercoagulable States rasheed USMLE Step 1 Mnemonics 0 08-16-2009 02:41 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)