For the past several weeks, Marjorie has felt unwell. She felt weak and tired, a

Question

For the past several weeks, Marjorie has felt unwell. She felt weak and tired, and had nausea, vonmiting, and a general malaise. He health care provider suspected that she might be suffering from internal hemorrhaging due to stomach ulcers. Marjorie's doctor sampled her blood and found high blood bilirubin, a product produced by destruction of hemoglobin. Which of the following is also likely in Marjorie contributing to the hemorrhaging? Decreased muscle contractility in the vascular phase of hemostasis Inability of a platelet plug form and seal broken vessel Increased time to fibrin formation

Explanation / Answer

Answer to the question will be inability of a platelet plug form and seal broken vessel. Platelet disorders are a major cause of hemorrhage in stomach ulcers. Platelet plug formation is very important step in the clotting mechanism. When there is no platelet plug formation, there will be no clotting and blood will remain to flow. These are called as bleeding ulcers and this is a life threatening condition. All the symptoms and signs given in the question suggests the diagnosis of bleeding ulcers.

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