A 28-year-old man with no significant past medical history presents with spontaneous bleeding from the gums, blood in the stool, and a petechial rash. His laboratory results show PT 14 seconds, aPTT 45 seconds, platelet count 45,000/μL, and fibrinogen 120 mg/dL. Which of the following is the most likely diagnosis?

  1. A)Immune thrombocytopenia
  2. B)Hemophilia A
  3. C)Disseminated intravascular coagulationGABARITO
  4. D)Vitamin K deficiency
  5. E)von Willebrand disease

Explicação

DIC presents with consumption of platelets, coagulation factors, and fibrinogen, resulting in prolonged PT, prolonged aPTT, thrombocytopenia, and hypofibrinogenemia. The acute presentation with mucosal and cutaneous bleeding is characteristic. Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE