Disorders of primary hemostasis Flashcards
Qualitative defects
involve platelet function
Quantitative defects
Involve the number of circulating platelets
How will a primary hemostatic abnormality generally appear in patients?
Bleeding because of defects in formation of the primary hemostatic platelet plug
Acquired
Bleeding which presents in adulthood
Congenital
bleeding episodes present during early childhood.
Types of bleeding
Purpura
Easy bruisability
Excess bleeding
Purpura
Purple spots on skin
Petichiae- pinpoint to small round red spots
Ecchymoses- discoloration from bleeding under the skin
Excess bleeding involves
both platelet and coagulation abnormalities
Deficient platelet production occurs in the following conditions
increased marrow cellularity such as seen in megaloblastic anemia, myelodysplastic syndromes and alcohol use
congenital megakaryocytic hypoplasia
Bernard-Soulier
neonatal thrombocytopenia
virus and chemotherapy drugs