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Hello, It would depend on clinical history of easy bruising and excessive bleeding from minor cuts, Please state the bleeding time and clotting time results. Hypofibrinogenemia could be congenital or due to some liver diseases.
PT 17.7 sec (11-14 normal range) INR 1.5 (.9-1.1 normal range) PTT 49 (26-35.5 normal range) Fibrinogen Level 162 (212-470 normal rage). These were the only bleeding time test run - He also had MCV 87 (70-86 normal range) and AST of 86 (20-60 normal range) all other WBC - RBC _ Platelets etc. were all normal
He has easy bruising and terrible bloody noses.
very tired, pale, leg pain (knee) , bloody noses and LUQ pain that brought him to the Dr.
That would indicate clinical tendency to bleed and he needs evaluation. Some times due to low fibrinogen activity, thrombosis also can occur in vessels.
okay, I thought I should as well. But his Dr. wanted to watch and see what happens in a month.
Please get bleeding time and clotting time specifically tested. He may be put on vitamin c 125 - 250 mg daily dose.
Thank you. XXXXX didn't want to overreact since they were not that elevated. Do you think they are elevated enough to be concerning?
With clinical symptoms, one should be concerned. Level itself is not material, the quality of fibrinogen may be poor (dysfibrinogenemia).
Thank you very much. I will insist on a referal.