An OB patient has just delivered a baby. Upon physical exami…

An OB patient has just delivered a baby. Upon physical examination, the patient is febrile and pale.  The physician in charge of his care runs a battery of labs.  The results are below: TEST Patient results Reference Range Prothrombin Time 16.8 sec 11-13 sec INR 3.85 NA Activated Partial Thromboplastin Time 71 sec 23-32 sec Fibrinogen 75 mg/dl 200-400 mg/dl Factor X 22% >50% activity Factor II 21% >50% activity Factor VII 23% >50% activity Factor V 28% >50% activity Factor XII 25% >50% activity Factor VIII 28% >50% activity Factor XI 19% >50% activity Factor IX 30% >50% activity Protein C 5% >50% activity Protein S 8% >50% activity D-dimer 580 ng/ml

A 21-year-old woman presents with a primary complaint of men…

A 21-year-old woman presents with a primary complaint of menorrhagia (heavy menstrual flow). Her coagulation screen gives the following results. What disorder is most likely?    TEST RESULT REFERENCE RANGE PT 12.0 sec 11-13 sec APTT 40 sec 22-32 sec Factor VIII 35% 50-150% Platelet count 225,000/ul 150,000-450,000/ul RIPA 34% 50-150%