chapter 12- disorders Flashcards

1
Q

decreased platelet levels

A

thrombocytopenia

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2
Q

decreased platelet levels can be caused by? (3)

A

decreased platelet production
increased destruction
platelets used up in forming clots

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3
Q

platelet disorders are caused by two main categories:

A

decreased platelet levels (thrombocytopenia)
or
impaired platelet function

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4
Q

DIC

A

disseminated intravascular coagulation

“you clot so much you can’t clot anymore”

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5
Q

DIC definition:

A

disturbance of hemostasis where we get wide spread coagulation and bleding

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6
Q

T or F

Platelet disorders are bleeding disorders

A

True

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7
Q

The 2 coagulation disorders:

A
  1. vWF disease

2. Hemophilia A

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8
Q

what happens in vWF coagulation disease?

A
  • platelet unable to bind to collagen

- spontaneous bleeding from mucous membranes

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9
Q

what causes vWF coagulation disease?

A

defects in Factor VIII (8), deficient in vWF, so cant bind platelets to collagen

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10
Q

both vWF and Hemophilia A are deficient in what?

A

Factor VIII (8)

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11
Q

Acquired coagulation disorders: (2)

A

Liver disease- cant make clotting factors

Vitamin K deficiency- deficiency in gut flora to make VK

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12
Q

Immune thrombocytopenic Purpura (ITP)

A

an autoimmune disease that results in platelet antibody formation against GP IIb/IIIa….and excess destruction of platelets

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13
Q

Immune Thrombocytopenic purpura (ITP) manifests as:

A

excessive bleeding, purpura, petechia, and low platelet.

splenomegaly in serious cases

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14
Q

enlarged spleen from dead or dying platelets

A

splenomegaly

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15
Q

diagnosis of ITP:

A

platelet levels below 20,000-30,000

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16
Q

treatment for ITP

A

Plasmopheresis (removal of plasma, introduce frozen)
corticosteroids
immune therapy

17
Q

Thrombocytopenic Purpura (TTP)

A

blood disorder in which small clots form microvasculature

genetic vs. acquired

18
Q

acquired TTP comes about through:

A

Antibodies forming against ADAMts13!