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Kaplan Qbank USMLE



Author6 Posts
  #1

Anticoagulant given for valvular heart disease. developed superficial bleeding and mucosal
hhges.PT and INR prolonged.skin petechiae seen.blood fibrinogen level decreased .diagnosis?

a) protein c deficiency
b) ITP
c) Congenital fibrinogenemia.
d) Warfarin overdose.


is it A or D?? I'm confused. Wouldn't A show up with gangrene?

  #2

Can u plz post the Whole Question cos from this it looks like Protein C deficiency but the only thing that differentiates it from Warfarin is the Timing of the PT and INR does the bleeding occur in an acute setting or chronic settting

a Previous Valvular Disease can be indicative of Warfarin dosage but the PT and INR dont Rise until 24-36hrs after ingestion or overdose.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #3

PT and INR are increased. that all there is from the usmle question. how does warfarin over dose present? vs c defic?

  #4

A

  #5

A

  #6

AAAAA smiling face







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