Chapter 10 Flashcards

1
Q

hemorrhage or thrombosis most often occurs secondary to..

A

some other altered physiologic process

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2
Q

thrombocytopenia

A

too little platelets

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3
Q

causes of thrombocytopenia

A
  • genetic
  • acquired (radiation)
  • disease (leukemia)
  • autoimmune
  • hypersplenism (spleen working too well)
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4
Q

what does thrombocytopenia lead to?

A

petechiae (small pinpoint hemorrhages)

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5
Q

thrombocytosis

A

too many platelets

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6
Q

causes of thrombocytosis

A
  • trauma
  • operations
  • childbirth
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7
Q

thrombosis

A

inappropriate activation of blood coagulation

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8
Q

what contributes to thrombosis?

A
  • endothelial cell injury
  • abnormal blood flow
  • hypercoagulability
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9
Q

where can thrombosis occur?

A

arteries and veins

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10
Q

virchows triad

A
  • endothelial injury (atherosclerosis, turbulent blood flow)
  • hypercoagulability (increased estrogen, trauma, surgery)
  • altered blood flow (bifurcation of arteries, atherosclerosis, venous stasis)
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11
Q

consequences of thrombosis

A
  • deep vein thrombosis
  • pulmonary embolism
  • stroke
  • heart attack
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12
Q

treatment for thrombosis

A

anti-coagulants and anti-platelets

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13
Q

what are different anti-coagulants?

A
  • warfarin (coumadin)
  • reduced amount of vitamin K availability
  • decrease risk of clot formation
  • heparin
  • inactivates thrombin (creates fibrin)
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14
Q

what are different kinds of anti-platelets?

A
  • aspirin (inhibits thrombaxane A2 formation
  • plavix
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15
Q

too little coagulant can be..

A
  • genetic (hemophilia - bleed a lot)
  • acquired (liver disease, lack of vitamin K)
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16
Q

hemophilia

A

spontaneous of traumatic subcutaneous bleeding, lacks coagulation factor

17
Q

how does hemophilia present?

A
  • blood in urine
  • bleeding in the mouth, lips, tongue
  • bleeding to the joints, CNS, gastrointestinal tract
18
Q

how to treat hemophilia

A
  • whole blood transfusions
  • treated with missing factor (injection)
19
Q

what kind of disease is hemophilia?

A

x-linked

20
Q

disseminated intravascular coagulation (DIC)

A

liberation of thromboplastic material into circulation

21
Q

what is disseminated intravascular coagulation (DIC) a result of?

A
  • snakebites
  • gram negative bacteria
  • surgery
  • diseases associated with shock and tissue necrosis
  • overwhelming bacterial infections
  • other causes of tissue necrosis