study_ing
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agreed...
DIC due to meningococcemia.
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| study_ing
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actually id just focus on DIC...can occur coz of any infection.
in the coagulation tests, both PT and Aptt will be prolonged.
and confirmatory test wud be FDPs eg d - dimer
wif we had a istrory of PC compatible with meningitis, then id look for them in the CSF.
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| tolito
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yes i agree the tests would be coagulation tests and fdp dimers. next would be to find out what organism is causing the septicemia.
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| frank100
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to confirm you need a blood culture, but itīll take some time
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| sheeezooo
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studyin u r right..
this is the case of acute DIC..which is associated with G+ and G- septicemia,typhoid fever,rochy mountain spotted fever,viremia and parasites
DIC in simplest terms a loss of balance b/w clot forming activity of thrombin and clot lysing(fibrinolysis) results from plasmin formation,and the pt presents with hemmorrhagic state.DIC usually is associated with a high mortality rate becuz of underlying disease.morbidity associated with DIC results from vascular thrombosis,acral cyanosis,and limb ischemia.
screening tests measure(PT),(aPTT), PLATELET COUNT AND FIBRINOGEN LEVEL.
confirmatory D-dimer test detects plasmin cleaved,insoluble,cross linked fibrin.FDPS only measure plasmin-cleaved fibrinogen or fibrin.
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