Best of Five 2.219

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BOF: 2.219

A 30 year old female presents with swelling of her left leg. There is not past history of note she has not been on a long journey.

On examination you note that her left leg is swollen, erythematous, there are dilated superficial veins, the area feels warm to touch and is tense.

Investigations show

Hb 13.5 g/dL

WBC 7.5 x10⁹/L

Platelets 400 x10⁹/L

Prothrombin time 14 s (control 12 s)

Activated Partial Thromboplastin Time 63 s (30-40s)

In this patient what is the likely diagnosis?

a)      Factor V Leiden

b)      Protein C deficiency

c)      Protein S deficiency

d)     Antithrombin III deficiency

e)      Antiphospholipid syndrome

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