ACQUIRED COAGULATION DISORDERS
286.5 Hemorrhagic disorder due to intrinsic circulating anticoagulants
286.52 Acquired hemophilia
286.53 Antiphospholipid antibody with hemorrhagic disorder
286.59 Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
D68.311 Acquired hemophilia
D68.312 Antiphospholipid antibody with hemorrhagic disorder
D68.318 Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors
PREFERRED PRACTICE PATTERNS
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated With Connective Tissue Dysfunction3
A 52-year-old male presents with a deep thigh bruise and knee pain from a fall 1 week ago. The patient has a history of celiac disease has noticed increased bruising and prolonged gum bleeding after brushing his teeth for the past week. He has not adhered to his gluten-free diet due to hectic work hours as a police officer. Vitals are: Temperature: 98.2 °F, Pulse: 84, Respirations: 16, Blood Pressure: 130/86, and SpO2% of 98%. Physical examination shows diffuse small ecchymosis on his upper and lower extremities with gingival petechiae. Laboratory tests show a normal hemoglobin and platelet count with a prolonged prothrombin time (PT) and mildly elevated partial PT.
Bleeding disorders, inherited: Evaluation of suspected inherited bleeding disorders. PAI-1, plasminogen activator inhibitor 1; PFA-100 CT, platelet function analyzer-100 closure time; PT, prothrombin time; PTT, partial thromboplastin time; TT, thrombin time; vWD, von Willebrand disease; vWF, von Willebrand factor. (From Nicoll D, Mark Lu C, Pignone M, Mcphee SJ. Pocket Guide to Diagnostic Tests, 6th ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Structure of a normal platelet. ADP, adenosine diphosphate. (From Chandrasoma P, ...