A septic patient has a prolonged PT and aPTT, a decreased fibrinogen, an increased D- dimer, and schistocytes …

Question

A septic patient has a prolonged PT and aPTT, a decreased fibrinogen, an increased D- dimer, and schistocytes on the smear. Which condition is most likely?

Accepted Answer

보기 3: Disseminated intravascular coagulation

Simultaneous coagulation and fibrinolysis define disseminated intravascular coagulation. Consumption lowers the clotting factors and fibrinogen, the lysis product D-dimer rises, and red cells are fragmented by microthrombi, producing schistocytes. All four findings point in one direction.

Answer

보기 1: Hemophilia A with factor VIII deficiency

Answer

보기 2: Vitamin K deficiency from poor intake

Answer

보기 4: Advanced liver disease alone

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A septic patient has a prolonged PT and aPTT, a decreased fibrinogen, an increased D- dimer, and schistocytes on the smear. Which condition is most likely?

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