USMLE Forum Archives - USMLE Step 2 CK - int.med.
int.med.
ysemak - 12-04-09 08:43
A 25 y.o. woman, gravida 2, para 0, with a history of 2 miscarriages presents with pain and swelling in her right leg. Au ultrasound reveals a blood clot in the right femor. vein. Otherwise she is healthy, thin, and active, has no recent trauma or prolonged immob-n. She is not taking any medicine.
PT- N
PTT- slightly elev-d
bleeding time- N
HB- 14g/dL
MCV- 90
Platelets- 250,000
VDRL syphilis test- positive
HIV test - negat.
What is the most likely cause of this woman's blood clot formation?
ysemak - 12-04-09 08:43
A 25 y.o. woman, gravida 2, para 0, with a history of 2 miscarriages presents with pain and swelling in her right leg. Au ultrasound reveals a blood clot in the right femor. vein. Otherwise she is healthy, thin, and active, has no recent trauma or prolonged immob-n. She is not taking any medicine.
PT- N
PTT- slightly elev-d
bleeding time- N
HB- 14g/dL
MCV- 90
Platelets- 250,000
VDRL syphilis test- positive
HIV test - negat.
What is the most likely cause of this woman's blood clot formation?
The correct answer and explanation will be available after you answer.
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#1
Re: int.med. conym5 - 12-04-09 09:48 My answer is: d.
lupus anticoagulant: usually found in persons with autoimmune diseases ,SLE is linked to an increased risk of blood clots and may be the cause of recurrent miscarriages.Symptoms
* Blood clots
* Recurrent miscarriages
#20
Re: int.med. ammulufy - 03-13-10 18:54 My answer is: e.
The h/o 2 miscarriages suggests dat d woman has underlying genetic disorder responsible for her bad obstetric history.....d list of disorders include Antiphospholipid antibody syndrome,protein C deficiency etc.
#21
Re: int.med. mtniharika - 04-30-10 10:48 My answer is: d.
the patent is mostly likely to have anti-phospholipid antibody syndrome...as shown by the recurrent abortions and deep vein thrombosis
#24
Re: int.med. babbu5508 - 05-21-10 03:26 My answer is: d.
Antiphospholipid syndrome (APS or APLS) or antiphospholipid antibody syndrome is a disorder of coagulation that causes blood clots (thrombosis) in both arteries and veins as well as pregnancy-related complications such as miscarriage, stillbirth, preterm delivery, or severe preeclampsia.
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