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Reported Question / Answer
Q.) A 68yrs woman,on her third day of hospitalization, who is being treated with antibiotics for acute cholecystitis develops increased pain and tenderness in the right upper quadrant with a palpable mass.Her temperature rises to 40degree C (104degree F)her blood pressure falls to 80/60mmHg.Hematemesis, melena and petechiae are noted.Laboratory studies reveal thrombocytopenia,prolonged prothrombin time,and a decreased fibrinogen level.The most important step in the correction of this patient's coagulopathy is:
1)
Administration of e-Aminocaproci acid
2)
Administration of fresh frozen plasma
3)
Exploratory laparotomy
4)
Administration of heparin
5)
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Answer :
3
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