Mike Has Classical Hemophilia, a Clotting Disorder, but His Case

question 61

Essay

Mike has classical hemophilia, a clotting disorder, but his case is considered "mild." Contrary to popular belief, Mike doesn't usually have problematic bleeding episodes related to cutting himself; a more severe problem for him would be brought on by a sprained ankle or by having a full body impact, like falling off a horse and landing hard on the ground, injuries considered "closed." With what you have learned about blood coagulation, can you explain how this could be so? Assuming Mike is lacking factor VIII, which pathways does he depend on?

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Definitions:

Autonomy

The capacity to make an informed, uncoerced decision; often related to the ability of individuals to govern themselves.

Competence

The quality or state of having sufficient knowledge, judgment, skill, or strength for a particular task.

Identity

The fact of being who or what a person or thing is; a distinct personality of an individual regarded as a persisting entity.

Role Confusion

Occurs when individuals are unsure about their place or role in society, often experienced during adolescence as part of identity development.