Differential Diagnosis for Cereal Line with Coagulopathy

• Single Most Likely Diagnosis
  • Warfarin toxicity: This is likely due to the common use of warfarin as a rodenticide in cereal lines, which can cause coagulopathy in individuals who ingest it.
• Other Likely Diagnoses
  • Brodifacoum toxicity: Similar to warfarin, brodifacoum is a long-acting anticoagulant rodenticide that can cause coagulopathy.
  • Superwarfarin toxicity: These are a group of long-acting anticoagulants that can cause severe coagulopathy.
• Do Not Miss Diagnoses
  • Vitamin K deficiency: Although less likely, vitamin K deficiency can cause coagulopathy and is essential to consider due to its potential for severe consequences if missed.
  • Liver disease: Liver dysfunction can lead to coagulopathy due to the liver's role in producing clotting factors, making it a critical diagnosis not to miss.
• Rare Diagnoses
  • Snake bite (e.g., viper or pit viper): Certain snake bites can cause coagulopathy, although this would be less common in the context of a cereal line.
  • Inherited coagulopathies (e.g., hemophilia): These are rare genetic disorders that affect the blood's ability to clot, which could potentially be uncovered in the investigation of coagulopathy.