# Disseminated Intravascular Coagulopathy (DIC)
-- History: ***
-- Clinical: *** clotting, bleeding (purpura, petechiae), organ failure
-- Exam: ***
-- Data: *** PT/PTT, D-Dimer, Fibrinogen, plts, schistocytes (smear), LDH, haptoglobin
-- Etiology/DDx: *** spesis, cancer, trauama, ARDS, pancreatitis
The patient's HPI is notable for ***. Exam showed ***. Labwork and data were notable for ***. Taken together, the patient's presentation is most concerning for ***, with a differential including ***.
-- Trend CBC, coags, D-Dimer, Fibrinogen q6-8 hours
-- Treat underlying cause
-- Transfuse plts <10 (<50 if bleeding), cryo if fibrinogen <100, FFP if INR >2
-- supplement vitamin K if there is a suspected deficiency
PDF coming soon!
DIC is a life-threatening and complex phenomenon caused by the imbalance of clot formation and breakdown. It is often caused by sepsis, cancer, or trauma. Treatment involves addressing the underlying cause and transfusing to replenish clotting factors and platelets to prevent hemorrhage.