10. Coagulation Factor Levels

Coagulation Factor Levels

Interp: factor X deficiency. No evidence for vitamin K deficiency or rodenticide ingestion

Clinical Course - day 1

• Received 1U PRBC 1h into admission
  
• 4 units FFP given immediately after diagnosis of factor X deficiency
  
• Started on Premarin
  
• Hct rose to 23.5% within 12 hrs

Clinical Course - days 2-4

• One additional unit of PRBCs
  
• Received 2 units FFP/day
  
• Factor X levels rose to >20%
  
• Menstrual bleeding stopped
  
• Premarin D/C'd, started on Lo/Ovral

Discharge plan

• Followup in Hematology Clinic
  
• Continue Lo/Ovral
  
• Resume normal activity but no contact sports
  
• Avoid NSAIDs and aspirin
  
• The great-aunt with the blood disorder was eventually contacted; she too has factor X deficiency