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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nose Bleeds, Blood Test Done, APTT Slightly Prolonged, Thrombin Is Normal

My Grandson 2 yrs 4 months old has the problem of nose bleeding . I had consulted Dr Arvind Shenoi. He had suggested certain blood tests. The relevent results are the APTT was 40.0 sec while Thrombin time was 17.3 sec. To this Dr Shenoi opined that the APTT is slightly prolonged but Thrombin is normal. He suggested that I should consult you for an opinion. I shall be grateful for a response from you. Reports are also uploaded.Thanks and regards S Mitra mob: 0000
Thu, 27 Mar 2014
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General Surgeon 's  Response
Consult the hematologist for this .
But to make you aware- there can be a local problem like a scab or an ulcers ( nose-pricking common in this age group), infection or a small vascular malformations etc. TO be confirmed or rule out with endoscopy examination .
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Nose Bleeds, Blood Test Done, APTT Slightly Prolonged, Thrombin Is Normal

Consult the hematologist for this . But to make you aware- there can be a local problem like a scab or an ulcers ( nose-pricking common in this age group), infection or a small vascular malformations etc. TO be confirmed or rule out with endoscopy examination .