need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 22 Answers

nbme22/Block 1/Question#42 (reveal difficulty score)
An 18-year-old woman develops sepsis after an ...
Decreased plasma fibrinogen concentration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +4  upvote downvote
submitted by โˆ—dr.xx(176)
get full access to all contentpick a username

Severe, rapidly evolving disseminated intravascular coagulation (DIC) causes thrombocytopenia, depletion of plasma coagulation factors and fibrinogen, and bleeding.

https://www.msdmanuals.com/professional/hematology-and-oncology/coagulation-disorders/disseminated-intravascular-coagulation-dic

get full access to all contentpick a username



 +4  upvote downvote
submitted by โˆ—syoung07(58)
get full access to all contentpick a username

Anytime I see a post-partum chica bleeding from an IV site i think DIC. You would see dec fibrinogen bc DIC is essentially this super hypercoaguable state that uses up all the factors for coagulation. Once you've used up all the coag factors ya start to bleed like a stuck pig ya feel me? In case you forgot, fibrinogen connects platelet-platelet during primary hemostasis.

get full access to all contentpick a username
chaosawaits  I'm jivin' with your vibe, man +



 +1  upvote downvote
submitted by โˆ—abhishek021196(119)
get full access to all contentpick a username

Disseminated intravascular coagulation (DIC) involves abnormal, excessive generation of thrombin and fibrin in the circulating blood. During the process, increased platelet aggregation and coagulation factor consumption occur. DIC that evolves slowly (over weeks or months) causes primarily venous thrombotic and embolic manifestations; DIC that evolves rapidly (over hours or days) causes primarily bleeding. Severe, rapidly evolving DIC is diagnosed by demonstrating thrombocytopenia, an elevated partial thromboplastin time and prothrombin time, increased levels of plasma D-dimers (or serum fibrin degradation products), and a decreasing plasma fibrinogen level. Treatment includes correction of the cause and replacement of platelets, coagulation factors (in fresh frozen plasma), and fibrinogen (in cryoprecipitate) to control severe bleeding. Heparin is used as therapy (or prophylaxis) in patients with slowly evolving DIC who have (or are at risk of) venous thromboembolism.

get full access to all contentpick a username



 -2  upvote downvote
submitted by โˆ—asharm10(37)
get full access to all contentpick a username

Acute phase reactants Upregulated: More FFiSH in the C Ferritin Fibrinogen Serum Amyloid A Hepcidin C-Reactive protein

get full access to all contentpick a username



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
liverdietrying on Release of stored thyroid hormone from a ...
keycompany on Negative nitrogen balance
kernicterusthefrog on Displacement
mcl on Area labeled โ€˜Dโ€™
joha961 on Displacement
imgdoc on Area labeled โ€˜Cโ€™ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
bubbles on Acute retroviral infection
yotsubato on Phase variation

search for anything NEW!