virgola82
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A 65 yo man undergoes a technically difficult abdominoperineal resection for a rectal cancer during which he receives three units of packed RBCs. Four hours later in the ICU he is bleeding heavily from his perineal wound. Emergency caogulation studies reveal normal PT, PTT and Bleeding Time. Fibrin degradation products are not elevated but serum fibrinogen is depressed and the platelet count is 70000/microL. The most likely cause of his bleeding is:
A. Delayed blood transfusion reaction
B. Autoimmune fibrinolysis
C A bleeding blodd vessel in the surgical field
D. Factor VIII deficiemcy
E. Hypothermic coagulopathy
Edited by virgola82 on 05/31/07 - 08:24 AM
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| Justice
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C A bleeding blodd vessel in the surgical field
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Don't live in a town where there are no doctors
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| webjeee
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can you explain it?
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| virgola82
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The most common cause of bleeding after surgical intervention is bleeding from a vessel in the operating field
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