Why are the coag screening tests prolonged

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Reference no: EM133810729

Problem

Consider the following case: A 23-year-old woman was admitted to the emergency department at 7:30pm in a state of collapse. Her illness had apparently been brief; she started to vomit after lunch on the previous day. At 5:30pm she was found at home unconscious and convulsing. However, she regained consciousness and was awake when admitted. The patient's temperature was 101º F, respirations were 42/minute, blood pressure was unrecordable, and she was in obvious shock. Her extremities were cold, and she had no radial pulse. Pinpoint purple petechiae were evident on the anterior chest wall, dorsum and soles of the feet. Get the instant assignment help. Blood was obtained by femoral arterial puncture 2 hours after admission. Blood cultures and throat swabs taken at this time were subsequently found to contain Streptococcus pneumoniae. PT/INR 16s / 3.2 (12-14s / 1.6-1.8) APTT 62s (28-36s) TT 18s (11-14s) D-Dimer 2800 Fibrinogen <1 mg/dL Platelet Count 50,000 Discuss, in complete sentences, the answers to two of the following questions: Why are the coag screening tests prolonged? Why is the FI decreased? Why is the D-dimer increased? Why is the platelet count effected? What is the likely treatment for this patient and what is the prognosis?

Reference no: EM133810729

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