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+--- Thread: I am easy - jumpingjack (/showthread.php?tid=176007)
I am easy - jumpingjack - ArchivalUser - 04-03-2007
A 58-year-old woman is having persistent heavy bleeding from her surgical wound following a mastectomy for carcinoma of breast. Purpura of her arms and truck are noted. Urine output has been only 300 mL in 24 hours. Laboratory studies show hemoglobin 9 gm/dL, white blood cells 16,500/mm3, with 75% polymorphonuclear leukocytes and 12% bands, and platelets 55,000/mm3. Serum urea nitrogen (BUN) is 35 mg/dL, creatinine is 2.8 mg/dL. Coagulation studies reveal a prothrombin time of 18 seconds and an activated partial thromboplastin time of 50 seconds. Fibrinogen is 150 mg/dL, thrombin time is prolonged, fibrin degradation products are 30 micrograms/dL (normal <10), D-Dimer is 600 micrograms/L (normal <250). Urinalysis shows numerous red cells in the sediment. Which of the following is the most likely diagnosis?
(A) Disseminated intravascular coagulation (DIC)
(B) Dysfibrinogenemia
© Hemolytic uremic syndrome
(D) Idiopathic thrombocytopenic purpura (ITP)
(E) Inadequate surgical hemostasis, with consumption of clotting factors due to hemorrhage
0 - ArchivalUser - 04-03-2007
aa
0 - ArchivalUser - 04-03-2007
a?
0 - ArchivalUser - 04-03-2007
a or c.. no sure
0 - ArchivalUser - 04-03-2007
aa
0 - ArchivalUser - 04-03-2007
The answer is A (DIC)
0 - ArchivalUser - 04-03-2007
D-dimers and fibrin degaradation products are the clue words in this question. Obviously the answer is A (DIC)
0 - ArchivalUser - 04-04-2007
yes the ans is aaa,good job