You are a third year medical resident talking with one of your mentors when all of a sudden, a patient presents to the ER with lower intestinal bleeding. After further inquiry, you learn that the patient is a 57 year-old man who has previously suffered from recurrent deep vein thrombosis and has undergone successful anticoagulation treatment with warfarin. You note that the patient sought medical treatment for pneumonia precisely 9 days ago and that he exhibits a prolonged prothrombin time. Propose an appropriate cause of the patient’s intestinal bleeding and a possible therapy; explain in detail the relevance of the patient’s pneumonia treatment (if applicable) to this scenario. Feel free to provide a response in the form of bullet-points.
You are a third year medical resident talking with one of your mentors when all of a sudden, a patient presents to the ER with lower intestinal bleeding. After further inquiry, you learn that the patient is a 57 year-old man who has previously suffered from recurrent deep vein thrombosis and has undergone successful anticoagulation treatment with warfarin. You note that the patient sought medical treatment for pneumonia precisely 9 days ago and that he exhibits a prolonged prothrombin time. Propose an appropriate cause of the patient’s intestinal bleeding and a possible therapy; explain in detail the relevance of the patient’s pneumonia treatment (if applicable) to this scenario. Feel free to provide a response in the form of bullet-points.
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