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Re: von Willebrand's From: Anna Meenan, MD (annam@uic.edu) Tue Sep 20 00:00:12 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: :elvic AP Surgery- question" Previous message: Ingrid Gold: "Re: von Willebrand's" In reply to: Joanne Bulley, MD: "Re: von Willebrand's" Next in thread: Peter Wein: "Re: von Willebrand's" Naw, you're not a dummy. Just a gynecologist. (just kidding Joanne) BT is a highly variable and very subjective test. There isn't a perfect test for VW. Different labs use different combinations, but the most common are a VW antigen, VW Ristocetin cofactor assay, and FVIII:C activity. There are also different methodologies and sensitivity/specificity numbers. Call your reference lab and ask what's in their VW test panel. At the clinic I used to work at, the lab lady had the catalog from the reference lab there and I could just look up the panels and individual tests and there was a paragraph describing the test and what it was for and how to interpret results. That always helped. Now I guess I'll just have to call the hospital pathologist with these questions if they arise in the outreach clinic. The hazards of being almost-but-not-quite-fully-retired. -- Anna Meenan, MD, FAAFP At Mon, 19 Sep 2005, Joanne Bulley, MD wrote: > >OK ... I can NEVER remember -- what tests do I order for checking out >von Willebrand's??? > >I feel like at dummy - after being in practice for 20 years since >residency! > >PT - aPTT - bleeding time? for starters - then send to a hem onc - or >what else should I be doing as a general OBGyn? > >(don't kick me off The LIST for being a dummy) > >Joanne > >-- >Joanne Bulley, MD >Keene, NH, USA > >"Love is indescribable and unconditional. >I could tell you a thousand things that it is not, but not one that it is." >— Duke Ellington, American jazz artist (1899-1974). > Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: :elvic AP Surgery- question" Previous message: Ingrid Gold: "Re: von Willebrand's" In reply to: Joanne Bulley, MD: "Re: von Willebrand's" Next in thread: Peter Wein: "Re: von Willebrand's"

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