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Yusuf

๐Ÿ‘ค Speaker
135 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

There were very notable left upper extremity findings.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

So he had swelling in the forearm, the compartment felt very firm, there was pain with passive stretch of the wrists and fingers, and diffused tenderness across the forearm.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

He had a sluggish capillary refill, and the pulses were faint, but if you put a Doppler on, you could hear the pulses.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

He had a loss of sensation in his median ulnar and radial nerve distribution.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

His motor function was intact, but weak secondary to pain.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

On his right lower extremity, where the procedure was a few weeks prior, it was a little bit firm, but it was like healing well.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

The rest of the exam was unremarkable.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

Before I give you more information, Mark, I would love to hear your impression, but I also would love to hear you comment on if somebody's taking aspirin and they fall, how commonly do they have bleeding?

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

And is that common or is that uncommon in your experience?

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

Awesome.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

Great discussion, you all.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

And I love teaching that, Mark, especially like not stopping anticoagulation just because of falls.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

And you need to have like a really serious reason to stop an anticoagulant.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

And if you ask patients, would you rather bleed or have a stroke?

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

Almost every single patient I've ever had prefers a bleed.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

So I think if we want to follow what patients want, we should do that as well.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

So I'll give you some more information.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

So white count, 13.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

Hemoglobin is 8, low.

The Clinical Problem Solvers
Episode 459 โ€“ Schema Episode: Coagulopathy

The MCV is 97.