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    A prolongation of aPTT, PT, and thrombin time may reflect fibrinogen deficiency viagra questions forum or dysfibrinogenemia. The proper interpretation of the screening tests of hemostasis will be time- and cost-effective with regard to determining which coagulation factor assays are necessary to clearly identify the specific factor deficiency and its level in patient plasma. to be considered if a prolonged PT and aPTT and a normal thrombin time are found. A prolonged bleeding time in the presence of a normal platelet count usually is a sign of an abnormality of platelet–blood vessel interaction (e.g., von Willebrand viagra questions forum disease). Most congenital deficiencies are single, whereas acquired abnormalities caused by vitamin K deficiency, liver disease, disseminated intravascular coagulation (DIC), or anticoagulant therapy cause multiple coagulation defects.

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