Question

A 23-year-old woman presents with symptoms of recurrent nosebleeds, bleeding of the gums, and menorrhagia. Significant laboratory results include a normal platelet count, abnormal platelet function analysis, normal prothrombin time, and abnormal activated partial thromboplastin time. Which of the following is the most likely diagnosis?

1) ADisseminated intravascular coagulation
2) BHemophilia A
3) CThrombotic thrombocytopenic purpura
4) Dvon Willebrand's disease

Answer 1

The most likely diagnosis is Disseminated Intravascular Coagulation (DIC). The correct option is 1) Disseminated intravascular coagulation.

Step-by-step explanation:

The most likely diagnosis for a 23-year-old woman presenting with symptoms of recurrent nosebleeds, bleeding of the gums, and menorrhagia, along with significant laboratory results including normal platelet count, abnormal platelet function analysis, normal prothrombin time, and abnormal activated partial thromboplastin time, is 1) Disseminated intravascular coagulation.

Disseminated intravascular coagulation (DIC) is a condition characterized by abnormal clotting and bleeding in various parts of the body. The abnormal platelet function analysis and abnormal activated partial thromboplastin time support the diagnosis of DIC. The other options, Hemophilia A, Thrombotic thrombocytopenic purpura, and von Willebrand's disease, do not match the symptoms and laboratory results described.