]> 2026-07-31T07:52:20+00:00 WBR0961 0 en I.V platelet transfusion ''' Incorrect ''' : There is no quantitative platelet loss in this patient that requires platelet transfusion. I.V desmopressin Von Willebrand factor transfusion ''' Incorrect ''' : Patients with type 3 VWD, those with more severe type 1, and those with types 2A, 2B, and 2M disease often require replacement therapy with VWF, particularly in more serious bleeding situations when other measures have failed, or in settings when more prolonged treatment is required. Cryoprecipitate infusion Proceed with the invasive procedure ''' Incorrect ''' : This patient has VWF deficiency which has to be corrected with desopressin or VWF supplement before proceeding with any surgery. Emergency Room A 30 year old female comes to the emergency department with an episode of bloody vomiting. She was in her usual state this morning but suddenly developed these symptoms. She had similar episodes thrice over the past one year, but never consulted a doctor. She is a known hypertensive on regular medications. Her past history is otherwise insignificant and her family history is positive for similar episodes in her brother. Her menstrual cycles are normal. She sexually active and uses contraceptives. Her vitals are temperature: 36.7 C, blood pressure: 140/80 mmHg, pulse: 80/min and respiration: 15/min. All system examinations are normal. The patient is treated symptomatically and you plan to do a upper GI endoscopy. Her laboratory values are as follows : Hb : 13 g/dl RBC’s : 2.5 million/cmm WBC’s : 6000/cmm Platelets : 250,000/cmm Neutrophils : 60 % Lymphocytes : 32 % MCV : 85 fl ESR : 15mm/hr PT : 13 sec (N 11-15 sec) APTT : 45 sec (N 25-40 sec) BT : 18 min (N 2-7 min) Serum creatinine : 1.2 mg/dl Serum calcium : 9 g/dl Which of the following is the best next step in the management of the patient? A Hematology 2020-10-28T02:12:06Z 2459150.5917361 WBR0961