Increased PT Only: A Prolonged PT with a Normal PTT
Initiation of Coumadin therapy or a very low dose of Coumadin
Inadequate intake of foods rich in vitamin K, such as cauliflower, broccoli, chick peas, other leafy vegetables
A stimulus for disseminated intravascular coagulation (DIC)
Evidence of liver disease from clinical or laboratory parameters
Family history of bleeding that could be associated with factor VII deficiency
Suggested Additional Lab Testing
Get liver function tests to assess whether the patient has liver disease and decreased synthesis of coagulation factors from the liver
Get a D-dimer or FDP as an assessment of DIC
If the test is positive, follow up with platelet count and measurement of fibrinogen.
In patients with DIC, these can be decreased or show decreasing values in two consecutive specimens at least several hours apart.
If DIC, Coumadin therapy, and vitamin K deficiency have been ruled out, measure the factor VII level and assess the possibility of an isolated factor VII deficiency.
Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Renal and Urology News Articles
- FDA Recalls Drugs Containing Active Ingredient Valsartan
- Correcting Metabolic Acidosis May Preserve Muscle Mass
- Infection Risk Lower in Dialysis Patients With High, Normal Vitamin D
- Urine Cytology May Not Improve Hematuria Evaluation for Bladder Cancer
- Aggressive Therapy Warranted for Gleason 10 Prostate Cancer
Sign Up for Free e-newsletters
NEPHROLOGY & UROLOGY NEWS
- Acute Kidney Injury (AKI)
- Chronic Kidney Disease (CKD)
- Contrast Nephropathy
- Cardiovascular Disease (CVD)
- Diabetic Nephropathy
- End-stage Renal Disease (ESRD)
- Lupus Nephritis
- Peritoneal Dialysis
- Secondary Hyperparathyroidism (SHPT)