Disseminated intravascular coagulation Flashcards

1
Q

What is disseminated intravascular coagulation (DIC)?

A

DIC is a condition where the processes of coagulation and fibrinolysis are dysregulated, leading to widespread clotting and resultant bleeding.

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2
Q

What is the role of tissue factor (TF) in DIC?

A

TF is a critical mediator of DIC that binds with coagulation factors to trigger the extrinsic pathway of coagulation.

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3
Q

What are common causes of DIC?

A

Common causes include sepsis, trauma, obstetric complications, and malignancy.

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4
Q

What are the typical blood picture findings in DIC?

A

The typical findings include decreased platelets, decreased fibrinogen, increased PT & APTT, and increased fibrinogen degradation products.

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5
Q

How does DIC affect prothrombin time (PT), APTT, bleeding time, and platelet count?

A

In DIC, PT is prolonged, APTT is prolonged, bleeding time is prolonged, and platelet count is decreased.

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6
Q

What happens to plasmin in a state of homeostasis?

A

In homeostasis, plasmin is critical as it is the central proteolytic enzyme necessary for fibrinolysis.

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7
Q

What is the final product of hemostasis?

A

The final product of hemostasis is the stable fibrin clot.

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8
Q

What occurs during the activation of the fibrinolytic system?

A

Activation generates plasmin, which is responsible for the lysis of fibrin clots.

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9
Q

What are fibrin degradation products?

A

Fibrin degradation products are polypeptides resulting from the breakdown of fibrinogen and fibrin.

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