Disseminated intravascular coagulation Quiz: Ace Your Exams
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A 65-year-old man undergoing treatment for gastric cancer comes to the clinic for a routine follow-up appointment. He reports feeling well and denies bleeding, bruising, leg swelling, or pain. He has no personal or family history of venous thromboembolism (VTE) or arterial thrombosis. Vital signs and physical examination are unremarkable. Venous Doppler ultrasonography of the lower extremities is negative for deep vein thrombosis. His recent laboratory studies are shown below. His physician is considering prescribing enoxaparin. Which of the following is the best statement regarding use of enoxaparin in this patient?
| Laboratory Test | Result | Reference Range |
| Hemoglobin | 12.0 g/dL | 13.5-17.5 g/dL |
| Platelet count | 110,000 /µL | 150,000-400,000 /µL |
| Prothrombin time (PT) | 15 seconds | 11-15 seconds |
| Activated thromboplastin time (aPTT) | 34 seconds | 25-40 seconds |
| Fibrinogen | 400 mg/dL | 200-400 mg/dL |
| D-dimer | 7.0 µg/mL | <0.5 µg/mL |
| Creatinine | 0.8 mg/dL | 0.6-1.2 mg/dL |
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