Lab Case 296

A 30 year old male presents to ED after being bitten by a snake while walking his dog at Ellenbrook Nature Reserve.  The patient has a PIB insitu and his first set of bloods were normal. Repeat coagulation studies post removal of PIB as below:

INR 1.8 (0.8-1.2)

APTT 50 sec (24-34)

D-dimer <0.5mg/l

Fribrinogen  3 g/dl (1.5-4g/dl)

  1. Describe and Interpret the bloods results
  2. What is the difference between VICC and anticoagulation coagulopathy in snake bites?