Hello doctor, These are my daughter's bloodwork results that were done nine months back. I was never told about any of these results until I recently asked for copies of her medical record. This year she had irregular and heavy menstrual bleeding and developed a large hemorrhagic ovarian cyst with torsion, which had to be removed/corrected with surgery. Now, she is on Tylenol, multivitamins, omega 3 supplements, Colace (Docusate sodium) for constipation after surgery. Do these results show her to be at risk for any other issues/health problems? Should I seek a second opinion? Prothrombin Time: 13 seconds Activated Partial Thromboplastin Time: 32.6 seconds Functional Protein S: 61% (L) Free Protein S: 92% Total Protein S: 106% Functional Antithrombin III: 140% (H) Factor V Leiden mutation: single R506Q mutation identified (heterozygote) (H) Coagulation Factor VIII Activity: 116% Von Willebrand Factor: 133%
Hello. Protein S deficiency causes an increased risk of developing blood clotting disorders mainly thrombosis. It can be hereditary or acquired. Acquired protein S deficiency is seen in liver disease or vitamin K deficiency. Your daughter is heterozygous for factor V Leiden mutation which further increases the risk of thrombosis and developing clots. It is advisable that you consult with a hematologist to determine if she might require any monitoring or prophylaxis. For more information consult a hematologist online -->