Physical signs of hypocoagulation include all of the following, except:

Physical signs of hypocoagulation include all of the following, except:

• A. Petechiae or ecchymoses
• B. Epistaxis
• C. Hematuria
• D. Thromboembolism

Answer: (D)

Hypocoagulation means the blood’s ability to form clots is impaired, so you see bleeding rather than clotting. The physical signs listed—petechiae or ecchymoses, epistaxis, and hematuria—are all manifestations of this bleeding tendency: small capillary leaks produce petechiae, broader bruising results in ecchymoses, nasal mucosa bleeds in epistaxis, and bleeding in the urinary tract causes hematuria. Thromboembolism, on the other hand, is a clot that travels and lodges in vessels, which is a sign of hypercoagulability or thrombosis rather than hypocoagulation. So the exception is thromboembolism.

Hypocoagulation means the blood’s ability to form clots is impaired, so you see bleeding rather than clotting. The physical signs listed—petechiae or ecchymoses, epistaxis, and hematuria—are all manifestations of this bleeding tendency: small capillary leaks produce petechiae, broader bruising results in ecchymoses, nasal mucosa bleeds in epistaxis, and bleeding in the urinary tract causes hematuria. Thromboembolism, on the other hand, is a clot that travels and lodges in vessels, which is a sign of hypercoagulability or thrombosis rather than hypocoagulation. So the exception is thromboembolism.