Infection Incorrects Flashcards
1
Q
A 76 year old man has nausea, fever and rigors. He has foul smelling urine. He was discharged 3 days ago after being treated for a PE. He has been having low molecular weight heparin injections twice daily since the diagnosis. He had a cholecystectomy 12 years ago.His temperature is 39.7°C, pulse rate 100 bpm and BP 92/41 mmHg.Investigations:
APTT 43 seconds (22–41) PT 18 seconds (10–12)
Which is the most likely cause of the prolonged prothrombin time?
A. Disseminated intravascular coagulation
B. Liver disease
C. Low molecular weight heparin
D. Lupus anticoagulant
E. Vitamin K deficiency
A
A = Sepsis causing DIC
