A 24-year-old woman has the following haematology and coagulation profile post
admission to the intensive care unit following post partum haemorrhage.
|Parameter||Patient Value||Normal Range|
|White cell count||5.6 x 109/l||4.0 – 11.0|
|Haemoglobin||60 g/l||115 – 165|
|Platelets||30 x 109/l||150 – 400|
|PT||30.6 sec||10.5 – 13.5|
|APTT||>150 sec||21 – 36|
|D-dimer||>10 µgm/ml||FEU <0.4|
|Fibrinogen||0.8 g/l||1.1 – 3.2|
a) What does this pattern of coagulation abnormalities suggest?
b) List three likely causes of this coagulation profile in this patient
c) What does an elevated D-dimer indicate?