Case Scenario Part 1:
Critical Issues

– Confirming the diagnosis

– Determining the carrier status of the mother

 

• Identify other potential carriers in the family (e.g., sisters)

– Treatment considerations

 

• Ability of the local hospital to obtain necessary blood clotting factor
• Long-term treatment options
• Potential treatment-related side effects
• Management of disease-related complications (e.g., joint/muscle bleeds)
• Management strategies for the short-term and long-term, including plans for managing acute bleeding episodes
• Management of routine childhood care such as immunizations
• Education of the community (primary care provider, day care, parents and extended family)

– Monitoring for inhibitor development

– Lack of basic knowledge of hemophilia