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Let's give this #tweetorial (#hematorial?) thing a spin.

5 year old boy is referred after preoperative blood work. aPTT is ⬆️ (45, ULN = 38). PT & all other labs are normal. No bleeding symptoms. No medications, no recent infections. Normal physical exam.
What would you do?
The only really bad answer is D. The others can all be motivated. We did C. A could be, but surgery was already planned before.

But before moving on, let’s first go back to one of the horrors of med school, the dreaded coagulation cascade:
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