hemo exam 7 Flashcards
acquired vascular 1* hemostasis defects
vasculitis, collagen deficiency, extensive vascular injury
vasculitis is
no vasoconstriction, usually symptom of something
what happens with collagen deficiency
no collagen to trigger 1*
what happens with vascular injury
burn or road rash, vessels damaged, impede vasoconstriction
inherited 1* hemostasis defects
von Willebrands disease
what happens with von Willebrand’s disease?
its not being produced by the endothelium and factor VIII
most common inherited bleeding disorder of dogs
von Willebrand’s disease
1* hemostasis platelet plug hemostasis defects are caused by either
number(thrombocytopenia) or function
1 bleeding disorder of dogs
thrombocytopenia
causes of thrombocytopenia
increase destruction, increased consumption, decreased production
reasons for increased destruction of platelets
ITP
reasons for increase consumption of platelets
DIC
reasons for decreased production of platelets
bone marrow reasons
platelets plug function issues include
thrombopathia, thrombocytopathy
what happens during platelet plug function defects
there’s no adhesion, aggregation, secretion
what causes function defects in the platelet plug
drugs, DIC, uremia (platelets cannot stick)
hereditary causes of function defects in the platelet plug
vWB dz, basset hound thrombopathy, epistaxis in simmental, Chediak-Hagashi, thromblasthenic thrombopathia
how does vWB dz effect function of platelet plug
platelets fail to adhere to subendothelial collagen
clinical signs of 1* hemostasis defects
petechia, ecchymosis, bleeding from the MM, bleeding out after venipuncture
acquired secondary hemostasis defects causes
Vit-K deficiency,Liver disease/failure, DIC,
example of what can cause vit-k deficiency
warfrin poisoning
DIC can be caused by
2* heat stroke, viremia, endotoxemia, massive necrosis, trauma, septicemia, IV hemolysis, consumption of hemolysis factors and hemorrahage
hereditary causes of 2* hemostasis defects
hemophilias, vWB dz
with vWB disease lack
von Willebrand factor and factor 8
clinical signs of 2* hemostasis defects
hematoma, bleeding into muscle, joints, and body cavity, delayed bleeding after venapuncture*
causes of acquired fibrinolysis defects
liver failure, DIC
how does liver failure cause fibrinolysis defects
can’t clear FDPS
DIC mechanism
2, excessive activation, consumption, excessive FDPs, organ failure, signs or both 1 and 2*
thromboembolic disorder
clot forms then travels and lodges somewhere else
causes of thromboembolic disorder
roughened endothelium, protein C deficiency, Nephrotic syndrome
causes of roughened endothelium
cardiomyopathy, HWD dogs, IVC in AIHA
how does protein c deficiency cause thrombolytic disorder
down regulated firbrinolysis( activated PC hydrolyzes plasminogen activator inhibitor)