Quick Question Archive

January 2022 Quick Question: Case Study

Our January 2022 case study states, “A patient experiences soft tissue bleeding and poor wound healing. The PT, PTT, and TT are normal. What follow-up profile do you recommend?” Please select your answer from the column on the right and add your comments below.

Quick Question Archive

Dec 2021 QQ Summary: Thrombosis Risk Profile

Here is the summary of our December 2021 Quick Question, which drew 28 responses. Question: The resident orders a thrombosis risk profile on an inpatient being treated for PE. How do you respond? Run the profile but provide interpretation: 18% [5] Recommend waiting until Rx is D/Ced: 68% [19] Test for lupus anticoagulant only: 4% […]

Quick Question Archive

December 2021 Quick Question: Thrombosis Risk Profile

Our December 2021 question asks, “The resident orders a thrombosis risk profile on an inpatient being treated for a pulmonary embolism [PE]. How do you respond?” This question is inspired by a case study we developed for Rutgers’ CLSC 5124 Advanced Hemostasis fall, 2021 online graduate course. Above is a screen capture that lists several […]

Anticoagulant Therapy

November 2021 QQ: Case Study, Prolonged PTT, Response

Our November 2021 Quick Question Case attracted 75 responses. We asked, “A 3-YOA female with normal PT and prolonged PTT and no bleeding. What is the most likely deficiency?” Here are your responses: Factor V–3 [4%] Factor VIII–18 [20%] Factor IX–2 [3%] Factor XI–4 [7%] Factor XII–44 [59%] Factor XIII–4 [7%] Congenital factor V deficiency […]

Coagulation Factors

November 2021 Quick Question: Case Study, Prolonged PTT

Our November 2021 Quick Question involves a 3-year-old female patient with no bleeding history whose pre-op PT and PTT results were PT 13.3 seconds [RI 12-6–14.6] and PTT 51 seconds [RI 25–35] and asks what is the most likely coagulation factor deficiency. Please select your answer and add your comments below.

October, 2021 Quick Question: Blue-top Tube Shortage

Our October 2021 Quick Question asked, “How are you managing the blue-top tube shortage?” We had a brisk response with 22 participants answering as follows: We have seen no shortage: 32% [7] Purchase control plasmas: 0% Alternate tube source: 41% [9] Prep our own tubes: 9% [2] Reduce coag orders. 18% [4] Although a third […]

Quick Question Archive

September 2021 Quick Question: TEG

Our September 2021 Quick Question attracted only 14 responses, perhaps reflecting the minimal communication between the central laboratory and the anesthesiology service in most operating rooms. Our question was “What is the favorite near-patient viscoelastic test of US anesthesiologists?” Here are your answers: Rotational thromboelastometry [ROTEM]: 14% [2] Resonance sonorheometry [Quantra]: 7% [1] Activated clotting […]

Global Hemostasis Assays

August, 2021 Quick Question: Factor Deficiency

Our August 2021 Quick Question, which asks, “Which factor deficiency causes the smallest risk of bleeding?” drew a respectable 48 votes. Answers: VWF deficiency: 9% [4] Factor X deficiency: 4% [2] Factor XI deficiency: 7% [3] Factor XII deficiency: 52% [24] Prekallikrein deficiency: 28% [13] Both 4 and 5 are correct, deficiencies of contact factors […]

Bleeding Disorders

August, 2021 Quick Question

Our August, 2021 Quick Question is “Which factor deficiency causes the smallest risk of bleeding?” Please answer at your convenience. This question may lead us to a discussion of the current research developments for safer anticoagulant preparations.

Bleeding Disorders

July, 2021 Quick Question: Covid Inflammatory Cell Results

Our July, 2021 Quick Question was, “Which cell is the main cause of thrombo-inflammation in a COVID-19 infection?” We had 43 respondents to our selections: Endothelial cell: 35% [15] Platelet: 44% [19] Monocyte-macrophage: 12% [5] polymorphonuclear neutrophil: 9% [4] There’s no right answer, as all of these cells are involved in inflammation, however, many who […]

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George Fritsma is a medical laboratory scientist, educator, and author. George holds faculty appointments with Rutgers University and Michigan State University, and is a member of the International Society on Thrombosis and Hemostasis, American Association of Clinical Chemists, and American Society for Clinical Laboratory Science.

Cheat Sheets from George

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