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Which finding is characteristic of acute DIC?

Thrombocytosis

Negative D-dimer

Hypofibrinogenemia

In acute DIC, widespread activation of coagulation consumes platelets and coagulation factors, especially fibrinogen, so levels of fibrinogen fall. This consumption of fibrinogen, or hypofibrinogenemia, is a hallmark of acute DIC. You wouldn’t expect thrombocytosis; platelets are used up, leading to low platelets. D-dimer would be elevated due to increased fibrin formation and breakdown, not negative. Thrombin time is typically prolonged in this setting because low fibrinogen and fibrin degradation products interfere with clot formation, not shortened.

Shortened thrombin time

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