After diagnosis during a partial mastectomy, this patient’s estimated blood loss was 58 mL, causing anemia and requiring a red blood cell transfusion along with ventriculoperitoneal drain placement. With a substantive bleeding history before the diagnosis, what would you do next with this patient?
Work her up for von Willebrand disease?
Do a complete blood count test to look at platelet count, a peripheral smear to look at the morphology of the platelets, and a coagulation profile?
Offer genetic testing for fibrinogen disorders?
What would your next steps be? Read the full case presentation and expert opinion to see how your peers responded.