Coag 3 Flashcards

1
Q

Defect in Bernard-Soulier

A

GP Ib/V/IX (CD42)

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2
Q

photo of bernard-Soulier

A

Giant platelet with pseudonucleus

thrombocytopenia

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3
Q

labs in bernard-soulier

A

normal PT/PTT
thrombocytopenia
increased bleeding time
impaired platelet agg with RISTOCETIN

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4
Q

defect in Glanzmann

A

GP IIb/IIIa

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5
Q

labs in Glanzmann

A

normal platelets
impaired platelet agg with ADP, collagen, and Epi
clot retraction test + (no retraction)

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6
Q

May-Hegglin mutation

A

myosin heavy chain 9

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7
Q

May-Hegglin photo

A

Dohle body and giant platelets

little bleeding clinically

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8
Q

causes of giant platelets

A
May-Hegglin
Gray plts
Bernar-Soulier
Montreal
ITP
Mediterranean macrothrombocytosis
Sebastian, Flechner, Epstein, Alport
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9
Q

Storage pool deficiency

A

no 2nd wave with ADP or Epi

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10
Q

names of storage pool defects

A
Gray plt
Quebec 
Wiscott-Aldrich
Cheiad-Higashi
Hermansky-Pudlak
Thrombocytopenia with absent radii
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11
Q

small platelets

A

Wiscott-Aldrich

iron deficiency

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12
Q

missing in gray platelet syndrome

A

alpha granules

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13
Q

platelet agg in gray plt

A

blunted with everything but ADP and epi

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14
Q

diseases with no delta granules

A

Wiskott-Aldrich
Chediak-Higashi
Hermanski-Pudlak

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15
Q

“swiss-cheese” platelets

A

Hermansky Pudlak

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16
Q

Plt aff in Aspirin or NSAID

A

decreased 2nd wave to ADP and epi

no response to collagen and arachdonic acid

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17
Q

osler-Weber-rendu syndrome

A

oral telangiectasias
platelet type bleeding
iron def

18
Q

factor decreased in amyloidosis

19
Q

hemophilia A

A

decreased factor 8

20
Q

hemophilia B

A

decreased factor 9 (christmas dz)

21
Q

molecular for hemophilia

A

Xq28

intron 22 inversion

22
Q

bethesda unit to activity

A

1=50%
2=25%
3=12.5%

23
Q

inhibitors more common in

A

hemophilia A

24
Q

hemophila C

A

factor 11 def (mild, AR)

25
tests for factor 13 def
clot stability test | 1% monochloracetic acid test
26
deficiency where you can get anaphylaxis from trestment
Factor 9
27
dysfibrinogenemia on mixing study
partial correction
28
platele agg with afibrinogenemia
decreased ADP, epi, AA
29
ddx if plt aff decreased with ADP, Epi, AA
afribinogenemia Glanzmann Aspirin storage pool
30
what vit K does
gamma-carboxylation of glutamine
31
alpha-2-antiplasmin
decreased euglobulin lysis time | normal PT/PTT
32
most common cause of thrombophilia
activated protein C resistance
33
FV leiden mutation
Arg 506 Gln
34
FV cambridge mutation
Arg 306 Threonine
35
how does Protein C deficiency classically present
skin necrosisi with warfarin | neonatal fulminans
36
decreased protein S during stress because
increased C4b (acute phase) with the Protein S binding protein
37
decreased response to heparin
antithrombin III def
38
most common anti-phospholipid specificities
B2-glycoprotein anticardiolipin lupus anticoagulant
39
decreased platelets with thrombosis
antiphospholipid syndrome | HIT
40
HIT antibodies to
PF4 in granules
41
homocystinuria
AR, lens dislocaiton, MR, peripheral neuropathy, decreased folate