A 15-Year-Old Boy Is Admitted to the Hospital for Management

question 556

Multiple Choice

A 15-year-old boy is admitted to the hospital for management of right elbow pain and swelling.  The symptoms began 5 days ago while he was watching television at home.  The patient has factor VIII deficiency and has been receiving prophylactic recombinant factor VIII infusions through a subcutaneous port 3 times weekly since he was 11 months old.  When this episode began, the frequency of his infusions was increased to daily, but the swelling and pain remain.  Temperature is 37.6 C (99.7 F) .  The right elbow has edema, is tender to palpation, and has limited range of motion relative to the left elbow.  Laboratory results are as follows: Which of the following is the most likely cause of this patient's symptoms?

• A)Acquired von Willebrand disease
• B)Fibrinogen dysfunction
• C)Heparin-induced thrombocytopenia
• D)Inhibitor development
• E)Platelet dysfunction

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Definitions:

Fracture Healing

The process by which bone repairs itself following a break or crack, involving the stages of inflammation, bone production, and bone remodeling.

Patient Seen

A term indicating that a patient has been examined or consulted by a healthcare professional.

Bleeding

The loss of blood from the circulatory system due to injury or illness.

Marketing Channel Functions

Refer to the various roles and tasks necessary for the movement of goods from the producer to the consumer, including logistics, information processing, and negotiation.