Lucy is a 58 year old female. She was brought to the emergency room following an acute respiratory distress. Her physical and laboratory examinations revealed signs of sepsis including tachycardia, hypotension, elevated body temperature , and marked increased in WBCs count in CBC. The initial diagnosis was sepsis secondary to pneumonia. Accordingly, she was admitted to the ICU and given intravenous antibiotic and treatment for pain. In the next day (second day), the nursing staff noticed hematuria, petechiae and Ecchymosis in her body. Therefore, a coagulation study was ordered and the obtained results revealed a thrombotic attack. BUN and creatinine were also elevated. Questions:

1. What is the most possible diagnosis in the second day?

2. What is the possible cause of hematuria, elevated creatinine and BUN?

3. What is the expected result for the following tests: PT, aPTT, TT, RT, Platelet count, D-dimer

4. What is the main goal of treatment in this case? What are the secondary treatments that should be considered?

Answer rating: 100% (QA)

1 The most probable diagnosis in the second day is acute disseminated intra vascular coagulationDIC ... View the full answer