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Flashcards in this deck (46)

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  • Platelets are produced from megakaryocytes in the bone marrow.

    platelets hematology
  • The key function of platelets is to rapidly form mechanical plugs in response to vascular injury.

    platelets hemostasis
  • Hemostasis is the process that prevents and stops bleeding.

    bleeding hemostasis
  • Primary hemostasis involves platelets and vessel wall integrity, while secondary hemostasis involves the coagulation cascade.

    platelets hemostasis
  • Platelet adhesion occurs when platelets adhere to exposed subendothelial collagen.

    platelets hemostasis
  • In primary hemostasis, bleeding from a single site suggests a structural lesion.

    clinical bleeding
  • Multiple site bleeding suggests coagulopathy.

    clinical bleeding
  • Immediate bleeding indicates a primary hemostasis disorder.

    bleeding hemostasis
  • Delayed bleeding is indicative of a secondary hemostasis disorder.

    bleeding hemostasis
  • Petechiae, which are pin point bleeding in skin or mucosa, suggest a primary hemostasis issue.

    clinical hemostasis
  • Hematoma and hemarthrosis, which involve large blood in soft tissues or joints, are seen in secondary hemostasis disorders.

    clinical hemostasis
  • Mucosal bleeding and bruising are often associated with primary hemostasis.

    clinical hemostasis
  • Immune Thrombocytopenia (ITP) can be classified as primary (no other cause) or secondary (due to drugs, systemic disorders).

    hematology itp
  • The autoantibodies in ITP target platelet glycoproteins such as GP IIb/IIIa or Ib/IX.

    hematology autoimmunity
  • Acute ITP is mostly seen in children and is often post-viral or post-vaccine.

    hematology itp
  • Chronic ITP is more common in women aged 20–40 with no viral history.

    hematology itp
  • Clinical features of acute ITP include sudden onset, petechiae, and mucocutaneous bleeding.

    hematology itp
  • Treatment for chronic ITP may include splenectomy or immunosuppressants.

    treatment hematology
  • Heparin-Induced Thrombocytopenia (HIT) can be classified into Type I (nonimmune) and Type II (immune-mediated).

    hematology hit
  • Type II HIT occurs 4–10 days after exposure to heparin and can be life-threatening.

    hematology hit
  • Clinical features of HIT include thromboembolism such as DVT and MI.

    hematology hit
  • Thrombotic Thrombocytopenic Purpura (TTP) is caused by deficiency of ADAMTS13.

    hematology ttp
  • TTP may be triggered by infections like E. coli O157:H7 or Shigella.

    hematology ttp
  • The pathogenesis of TTP involves accumulation of large vWF multimers due to ADAMTS13 deficiency.

    hematology ttp
  • Deficiency of ADAMTS13 leads to accumulation of large vWF multimers.

    pathogenesis platelet_disorders
  • The clinical features of TTP include a pentad of: - microangiopathic hemolytic anemia - thrombocytopenia - neurologic symptoms - fever - renal disease.

    clinical_features ttp
  • Neurologic symptoms in TTP may include: - seizures - aphasia - hemiplegia.

    ttp neurology
  • Laboratory findings in TTP include: - WBC: normal/slightly elevated - Hemoglobin: 8–9 g/dL - Platelets: 20–50 x 10³/mm³.

    ttp labs
  • The treatment for TTP is a medical emergency that includes plasma exchange which removes antibodies and vWF multimers.

    treatment ttp
  • Hemolytic Uremic Syndrome (HUS) is the most common cause of acute kidney injury in children and is often associated with bacterial gastroenteritis.

    etiology hus
  • Atypical HUS is linked to mutations in the complement pathway and has a poor prognosis.

    hus atypical
  • The primary event in the pathogenesis of HUS is endothelial damage.

    pathogenesis hus
  • Clinical features of HUS include: - bloody diarrhea - fever - acute renal failure.

    clinical_features hus
  • Differential diagnosis for TTP includes: - DIC: Prolonged PT/aPTT, elevated D-dimer - Systemic vasculitis: Rash, arthralgia, no diarrhea.

    ttp differential_diagnosis
  • Systemic vasculitis symptoms include rash, arthralgia, and no diarrhea.

    symptoms medicine
  • Supportive care for treatment includes platelet transfusions, dialysis, and fluid/electrolyte management.

    treatment medicine
  • Plasma exchange is used for treating atypical HUS.

    treatment medicine
  • TTP and HUS comparison shows that peak incidence for TTP is at 40 years, while HUS is common in childhood.

    medicine comparison
  • In terms of gender, TTP is more common in females, while HUS affects both genders equally.

    medicine comparison
  • Epidemic occurrence is common in HUS but not in TTP.

    medicine comparison
  • Re-occurrence is common in TTP and rare in HUS.

    medicine comparison
  • HUS is linked to E. coli 0157:H7, while TTP has occasional links.

    medicine comparison
  • Renal failure is uncommon in TTP but common in HUS.

    medicine comparison
  • Thrombocytopenia in TTP is severe, while in HUS it is moderate to severe.

    medicine comparison
  • Organ involvement in TTP is multiple, while in HUS it is limited to the kidney.

    medicine comparison
  • Occlusion Question Image