sera
Forum Senior
Topics: 14
Posts: 141
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37. Three days after hospitalization for heparin treatment of deep venous thrombosis of a left superficial femoral vein, a 52-year-old woman has prolonged bleeding from a venipuncture site. She had a pulmonary embolus 2 years ago. Her temperature is 37.5 C (99.5 F). Examination shows multiple ecchymoses at the venipuncture sites with oozing of fresh blood. Laboratory studies show:
Hemoglobin
10.5 g/dL
Platelet count
25,000/mm3
Prothrombin time
14 sec (INR=1.3)
Partial thromboplastin time
65 sec
Plasma fibrinogen
300 mg/dL (N=200–400)
Serum creatinine
1.1 mg/dL
Which of the following is the most likely diagnosis?
A
) Adverse drug reaction
B
) Disseminated intravascular coagulation
C
) Excessive blood loss from anticoagulation
D
) Factor VIII deficiency
E
) Factor IX deficiency
F
) Immune thrombocytopenic purpura
G
) Thrombotic thrombocytopenic purpura
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syra
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| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
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A
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"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
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| Justice
Forum Fanatic
Topics: 100
Posts: 1,901
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A) Adverse drug reaction
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Don't live in a town where there are no doctors
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| vradojc1
Forum Elite
Topics: 21
Posts: 309
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A - HIT
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| sera
Forum Senior
Topics: 14
Posts: 141
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A
thanks
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syra
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