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Department of Pathology

Case of the Month August 2003

A 48-year-old female with bleeding

Hartel Paul, M.D., Canfield Patricia, M.D.

 

TABLE 1

Laboratory Tests
Results
Reference values
WBC 7.6 Thou/uL 3.5-11 Thou/uL
Hgb 14.0 g/dL 13.1 – 17.3 g/dL
HCT 41.2% 39.8 – 50.2%
PLT
412 Thou/uL (normal morphology on non-anticoagulated peripheral blood smear)
140 – 450 Thou/uL
PT 17.3 sec 135 – 148 mmol/L
Na 145 mmol/L 135 – 148 mmol/L
K 4.8 mmol/L 3.5 – 5.1 mmol/L
BUN 15 mg/dL 9 – 20 mg/dL
Creatinine 1.0 mg/dL 0.6 – 1.2 mg/dL
Glucose 100 mg/dL 70 – 105 mg/dL
PT 10.4seconds 9.5 – 12.5seconds 
PTT 39seconds 24.8 – 37.3 seconds
Repeat PTT 36seconds 24.8 – 37.3 seconds
Bleeding time 15minutes Less than 10 minutes
AST 20 U/L 20 U/L
ALT 27 U/L 8 – 37U/L
TSH 0.93 uIU/ml 0.93 uIU/ml
Lupus anticoagulant Negative Positive/Negative
vWf Ag 82% 43 – 150%
vWf ristocetin cofactor 79% 47 – 150%