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NBME 17 Answers

nbme17/Block 0/Question#0 (reveal difficulty score)
An 18-year-old woman develops sepsis after an ...
Decreased plasma fibrinogen concentration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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This is Dissiminated Intravascular Coagulation (FA2020 p428)

DIC is a consumption coagulopathy (clotting factors are activated EVERYWHERE so they quickly produce microthombi and are consumed, allowing for bleeding). Thus, the individuals present with a consumption of coagulation factors leading to increased bleeding time, increased PT/INR, increased PTT, low fibrinogen and other clotting factors as well as a consumption of platelets leading to thrombocytopenia. Because there is widespread clotting factor activation, they also have signs of widespread microthombi sich as schistocytes and increased fibrin degradation products.

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cassdawg  Here is the osmosis video on DIC: https://www.youtube.com/watch?v=Gmh01S0msfY +1



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