Clinical Case Database / Category: Patient Management

A case of heparin induced thrombocytopenia

Publication details

Dr Richard Soutar, Dr Caroline Betts
Foundation Years Journal, volume 9, issue 3, p.47 (123Doc Education, London, March 2015)


This article describes a case of heparin induced thrombocytopenia (HIT) in a patient following above knee amputation for an acute ischaemic lower limb. It discusses the differential diagnoses which should be considered in surgical patients with thrombocytopenia, who is at risk of heparin induced thrombocytopenia, when a diagnosis of HIT should be clinically suspected and briefly how HIT is diagnosed and managed.

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Dr Richard Soutar

Consultant Haematologist
Gartnavel Hospital, Glasgow, G12 0YN

Dr Caroline Betts (Corresponding author)

Speciality Registrar in Haematology
Gartnavel Hospital, Glasgow, G12 0YN


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8. Pötzsch B, Klövekorn W-P, Madlener. Use of Heparin during Cardiopulmonary Bypass in Patients with a History of Heparin-Induced Thrombocytopenia. N Engl J Med 2000; 343:515.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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