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Old 06-07-2011
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Blood Management of Factor XI deficiency

A 58-year-old man is evaluated for preoperative clearance prior to elective hernia surgery after a prolonged activated partial thromboplastin time (aPTT) is found on laboratory studies. Personal and family history of abnormal bleeding is negative. Medical history is otherwise noncontributory, and the patient takes no medications.
The vital signs and general screening examination are normal.
The inhibitor mixing study corrects the prolonged aPTT, and factor assays indicate an isolated factor XI deficiency with a value of 47% of normal (normal, 70% to 120%).

Which of the following is the most appropriate management?
A) Cancel surgery
B) Proceed to surgery with no preoperative treatment
C) Treat with factor VIII concentrate preoperatively
D) Treat with cryoprecipitate preoperatively
E) Treat with fresh frozen plasma therapy preoperatively
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Old 06-07-2011
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Default i go wid E

.. Isolated factor 11 deficiency treat with fresh frozen plasma..
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Old 06-07-2011
yasirsattar75's Avatar
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Default i think E is better option for me ....

answer e......
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Hematology-, Step-3-Questions

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