UALBERTA Hemophilia Discussion – Question Description
I’m working on a biology case study and need the explanation and answer to help me learn.
Terrance is a 36-year-old house painter admitted to the emergency room with nausea, acute pain in his upper right quadrant, an increased total white blood cell count, and an increase in neutrophils. His presumptive diagnosis is acute appendicitis. He is scheduled for an emergency appendectomy. Before Terrance goes to surgery, his physician requests additional laboratory testing and finds that Terrance’s screening test for normal coagulation is grossly prolonged. Further testing indicates that he has a deficiency in clotting factor VIII, or hemophilia A. He is given multiple doses of factor VIII concentrates and survives surgery.
Hemophilia is a disease that results in different levels of deficiencies in a specific clotting factor in the coagulation scheme. Patients experience bleeding because they cannot form clots adequately when they need to. Terrance had not previously experienced bleeding problems.
Questions
1. What would have happened if Terrance had had surgery before his doctor identified his clotting deficiency? Why?
2. How could he have acquired hemophilia?
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