Part 1: Disseminated Intravascular Coagulation
Thomas G. DeLoughery, MD, FACP
Dr. DeLoughery is a professor of medicine, Departments of Pathology and Pediatrics, Oregon Health Sciences University, Portland, OR.
A hematologist is asked to consult on a thrombocytopenic 23-year-old woman who is 38 weeks pregnant. She has elevated results on liver function tests, a low platelet count, an elevated D-dimer level, and schistocytes on her blood smear. Results of hepatitis testing are negative and her ammonia level is normal. What is the most appropriate diagnosis and treatment plan for this patient?