Heme Flashcards
PT assesses
Extrinsic pathway + common pathway
Extrinsic Pathway cascade
7—>10
Intrinsic Pathway cascade
12, 11, 9, 8 —>10
Common Pathway
10, 5, Thrombin, Fibrin
Protein C & S
inhibit factors 5 & 8 (accelerators)
Protein C & S deficiency
unable to inhibit 5 & 8 -> hypercoagulability
Hemophilia A
deficient factor 8 -> macro hemorrhages (hemarthrosis, bruising)
Hemophilia B
deficient factor 9 -> macro hemorrhages (hemarthrosis, bruising)
Factor 5 Leiden
factor 5 resistant to Protein C & S inhibition
Prothrombin G20210A mutation
thrombosis
Antithrombin deficiency
unable to inactivate thrombin -> hypercoaguable state
Factor 12 activates
factor 11 & kallikrein
Kallikrein
activates plasmin & increases bradykinin production
Plasmin
break down clot
What lab tests is used the monitor anticoagulation in pt taking Heparin?
PTT
What lab tests is used the monitor anticoagulation in pt taking Warfarin?
PT (INR)
Basophilic stipling is seen w/
Lead Poisoning
Burr cell is seen w/
uremia, renal failure