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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Causes Of Low Values Of RBC, Hematocrit, Hemoglobin?

I am a nursing student in second semester. I had a patient today in clinical for a GI bleed in the duodenum evidenced by endoscopy. Pt. history includes HTN, hyperlipidemia, osteoporosis, hypothyroidism; My question centers on the relationship of pt's lab results for RBC's, Hct, Hemoglobin, and PTT.
RBC's = 2.82; hematocrit = 24.9; hemoglobin = 8.2; PTT = 33.7. I believe that the RBC, hematocrit, and hemoglobin values are explained simply from loss of blood (are there any other possible causes for these low values?). However the PTT is high indicating thin blood. (With the exception of any heparin drips pt. may have been on or any other blood thinners, could a loss of blood result in thinner blood?)
Mon, 24 Feb 2014
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General & Family Physician 's  Response
Thanks for query.blood loss may not result in significant raise in PTT.PTT is raised in warfarin heparin use .clotting factor deficiency.liver diseases etc.30 to 50 sec is normal reference range.
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Causes Of Low Values Of RBC, Hematocrit, Hemoglobin?

Thanks for query.blood loss may not result in significant raise in PTT.PTT is raised in warfarin heparin use .clotting factor deficiency.liver diseases etc.30 to 50 sec is normal reference range.