Intentional

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 1 year old boy presents with a swelling of his right elbow joint for 4 hours. His mother says that this occurred after he tripped and hit his elbow on the floor.\n\nHe was diagnosed with severe Hemophilia A at 7 months of age, after developing an epidural hematoma following a fall from his cradle.\n\nSince then, he has experienced a mild nose bleed, and a large bruise over his left knee, both following falls.\n\nAt the time of diagnosis, factor VIII activity was measured to be 0.9%. He is currently on recombinant factor VIII prophylaxis. His medical and surgical histories are otherwise unremarkable.\n\nHis family history is significant for a maternal uncle with Hemophilia. All immunizations are up to date. He lives with his mother and stepfather.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-025_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Coagulation Profile + APTT Mixing Study
2. Factor VIII Inhibitor levels
3. X-Ray R/Elbow Joint
4. Skeletal Survey

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