Patroon

Both Prolonged screening pattern

Interpretatie

This pattern is compatible with a more global coagulation disturbance and is suggestive of consumptive coagulopathy, anticoagulant effect, multiple factor deficiencies, or severe liver-related dysfunction depending on the clinical setting.

Differentiële suggesties

• Compatible with disseminated intravascular coagulation when platelet, fibrinogen, and fibrin-marker abnormalities support a consumptive process.
• Suggestive of anticoagulant interference when drug exposure or TT/anti-Xa findings support it.
• Compatible with multiple factor deficiency states such as liver dysfunction, dilutional coagulopathy, or severe vitamin K-related deficiency.

Beperkingen

• Confidence level is medium; this interpretation should be correlated with the clinical question and repeat testing history.
• Anticoagulant exposure is not fully verified, so drug-related interference cannot be excluded.
• Combined PT/aPTT prolongation is non-specific and should not be treated as diagnostic of DIC without corroborating platelet, fibrinogen, fibrin-marker, and clinical-trigger data.

Aanbevolen vervolgstappen

• Assess for disseminated intravascular coagulation
• Review fibrinogen and platelet counts
• Review platelet count, fibrinogen, fibrin markers, and anticoagulant context before assigning the dominant mechanism.