STEP1

1. APTT= test for measuring trmboplastin (actvated partial tromboplastin time)

2. PT = protrombin time
3. PLATELET=molecular for freezing blood (blood clot)
4. WBC= white blood cell
5. FII = protombin
6. FVII = proconvertation
7. FVIII = anti hemophilic globulin
8. FIX = tromboplastin

Step2

1. Why the boy bleeding disorder?

2. What is the correlation between adopted children in this scenario
3. How the apt work andf the interpretation
4. Explain the routine blood test
5. Explain the table
6. Hows the blood clot
7. What is the correlation between disorder with the genetic factor
8. why this the nose is bleeding ?
9. How the pt works and the interpretation

Step 3
1. Why the boy bleeding disorder?
a. Because the factor 8 is decreased
2. What is the correlation between adopted children in this scenario
a. Maybe if the children carier the blood disease
3. How the apt work andf the interpretation
a. Apt normal 23.7-30.4 seconds
b. Above that hemophilia
c. Below that hemopenia
4. Explain the routine blood test
a. Apt above the normal
b. Hb is low
c. Wbc normal
d. Platelet normal
e. Hct normal
f. Pt high
5. Explain the table
a. F2:protombin :139 normal
b. F7; higher than normal
c. F8:low
 d. F9: normal
e. If one factor is lower or higher that means there was problem on the blood clot sistem
6. Hows the blood clot
a. Trombosit excreting factors that made the fibrinogen for processing stoping bleed
b. The trombosit release factors that invite the fibrinogen and chages to fibrin fiber which
can stop bleeding
c. Before trombosit change,trombosit break into tromboplastin,and change protombin
into thrombin and then fibrinogrn ke fibrin
7. What is the correlation between disorder with the genetic factor
a.
8. why this the nose is bleeding ?
a. maybe the boy is in an accident and he got hemophilia
b. normal man isn’t bleeding but hemophilia do… why?
c. Because f8 not just for bleeding,it also can be the strengthen vascular because the f8 is
low,so the vascular got weakness
d. F8 decreased,f8 used to be the blood clot and strength of the vascular
9. How the pt works and the interpretation
a. Pt is normal
b. If higher it got longer to be clot

STEP4

A 4 years old boy comes to the er with a nose bleed that not stop the doctor ask his parents about his
family history but his parent cant answer because he is adopted child doctor run the laboratory test and
got the result,mostly normal except the apt and pt result and then the child got to the hematologist to a
further test and got a result the f2 normal,f7 above normal.f8 low,f9 normal,acoording to the factor test
f8 shows below normal so the conclusion,this boy got hemophilia disease

Step5

1. Definition hemophilia
2. Klasifikation hemophilia
3. Etologi hemophilia
4. Epidemiologi hemophilia
5. Risk factor hemophilia
6. Patofisiologi patogeensis hemophilia
7. Clinical manifestation hemophilia
8. diagnose dan diferential diagnose hemophilia
9. complication hemophilia
10. Prognosis hemophilia
11. Medication hemophilia
12. Family medicine
13. The greatness of allah