A woman in labor is bleeding, has a very high fever, and is in danger of losing the fetus. Laboratory results include a platelet count of 15 x 109/L (normal platelet count = 150 - 450 x 109/L), prolonged PT and aPTT, decreased fibrinogen, and increased D-dimer. Her automated blood count flagged for blood smear review and the cells indicated by the arrows were seen on her peripheral smear along with a decrease in the number of platelets present. What condition

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A woman in labor is bleeding, has a very high fever, and is in danger of losing the fetus. Laboratory results include a platelet count of 15 x 109/L (normal platelet count = 150 - 450 x 109/L), prolonged PT and aPTT, decreased fibrinogen, and increased D-dimer. Her automated blood count flagged for blood smear review and the cells indicated by the arrows were seen on her peripheral smear along with a decrease in the number of platelets present. What condition is suggested by these results?

 

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  Thrombotic thrombocytopenic purpura (TTP)
  Hemolytic uremic syndrome (HUS)
  Disseminated intravascular coagulation (DIC)
  Glanzmann thrombasthenia (GT)
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