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1st June 2023
A 32-year-old female has just delivered her first child via emergency C-section due to placental abruption
A 32-year-old female has just delivered her first child via emergency C-section due to placental abruption. She is transfused 2 units of RBC post C-section due to high blood loss during surgery. It is noted that she has extensive bruising on her arms and legs and is bleeding from a venepuncture site.
Bloods are taken and the results are shown below:
| Hb | 89 g/L | Females: (115 – 155 g/L) |
| Platelets | 27 x 10⁹/L | (150 – 400 x 10⁹/L) |
| WCC | 10 x 10⁹/L | (4 – 11 x 10⁹/L) |
| Na+ | 137mmol/L | (135 – 145 mmol/L) |
| K+ | 4.9 mmol/L | (3.5 – 5.0 mmol/L) |
| Urea | 9 mmol/L | (2.5 – 6.5 mmol/L) |
| Creatinine | 124 μmol/L | (50 – 120 μmol/L) |
| Fibrinogen | 69 mg/dL | (125 – 300 mg/dL) |
| PT | 30s | (10.6 – 14.9s) |
What is the most likely diagnosis?
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