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22nd May 2023
A 35-year-old woman is recovering on the colorectal ward
A 35-year-old woman is recovering on the colorectal ward, following a proctocolectomy for ulcerative colitis. She notices some new bruises over her arms and legs that she is unable to explain. Bloods tests reveal:
| Hb | 105 g/L | Female (115-160 g/L) |
| WBC | 12 x 10⁹/L | (4.0-11.0 x 10⁹/L) |
| Platelets | 44 x 10⁹/L | (150-500 x 10⁹/L) |
| APTT | 40 secs | (25-35 secs) |
| PT | 20 secs | (10-14 secs) |
| Fibrinogen | 0.6 g/L | (2.0-4.9 g/L) |
| D-dimer | 1894 ng/mL | (<400 ng/mL) |
Which finding on the blood film would be most consistent with the likely diagnosis?
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