Blood & Lymphoreticular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented for further evaluation of a first episode of venous thromboembolism; given his age, a thrombophilia (either genetic or acquired) is a strong possibility.\n\nNote that while his evaluation at the time of the episode failed to turn up an etiology, this is not unusual, as many clotting and anticlotting factors are depleted during acute thrombosis.\n\nHis basic screening tests should include a complete blood count (CBC) to exclude thrombocytosis (even though this is more likely to give rise to arterial rather than venous thromboses), and a coagulation profile, aiming to see if the activated partial thromboplastin time (aPTT) is elevated (which might indicate antiphospholipid syndrome).\n\nAs these are normal, the next step "}]}

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