woman was admitted in labor to the obstetrical unit at 11 p.m. her history and physical examination revealed no significant abnormalities. At the time of admission, she was having irregular contractions. In the delivery room, bleeding became extensive. A STAT CBC, coagulation panel, and type & crossmatch for 4 units were ordered
Test Result Reference Range Hemoglobin 10.0 g/dL 12-16 g/dL Hematocrit 27% 37-47% Platelet Count 75 x 109/L 150-400 x 109/L PT 19.0 seconds 10.0-14.0 seconds APTT 65 seconds 23-36 seconds Fibrinogen 90 mg/dL 200-400 mg/dL FDP Positive Negative 1. What is the most probable cause of the extensive bleeding in this case and why?
2. What is the etiology of this disorder?
3. What is the pathophysiology of this disorder?
4. How will this patient be treated?
woman was admitted in labor to the obstetrical unit at 11 p.m. her history and physical examination revealed no significant abnormalities. At the time of admission, she was having irregular contractions. In the delivery room, bleeding became extensive. A STAT CBC, coagulation panel, and type & crossmatch for 4 units were ordered
Test Result Reference Range Hemoglobin 10.0 g/dL 12-16 g/dL Hematocrit 27% 37-47% Platelet Count 75 x 109/L 150-400 x 109/L PT 19.0 seconds 10.0-14.0 seconds APTT 65 seconds 23-36 seconds Fibrinogen 90 mg/dL 200-400 mg/dL FDP Positive Negative 1. What is the most probable cause of the extensive bleeding in this case and why?
2. What is the etiology of this disorder?
3. What is the pathophysiology of this disorder?
4. How will this patient be treated?