A 68-year-old man is evaluated for epistaxis, gum bleeding, and easy bruising of 3 months' duration. Medical history is notable for anxiety, depression, and hyperlipidemia. Medications are atorvastatin, citalopram, a multivitamin, and ginkgo biloba.
On physical examination, vital signs are normal; BMI is 21. Scattered petechiae and several small ecchymoses are visible on the anterior thigh. The examination is otherwise normal.
Laboratory studies:
Activated partial thromboplastin time (aPTT)
Normal
Hemoglobin
14.8 g/dL (148 g/L)
Leukocyte count
4200/µL (4.2 × 109/L)
Platelet count
245,000/µL (245 × 109/L)
Prothrombin time (PT)
Normal
Thrombin time
Normal
Which of the following is the most appropriate diagnostic test to perform next?
AFibrinogen levelBMixing studies for PT and aPTTCPeripheral blood smear reviewDPlatelet Function Analyzer-100ESerum protein electrophoresisSubmit Your Answer
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