OME - Day 11 Flashcards

1
Q

A mixing study fails to correct the bleeding problem, next step?

A

Factor inhibitors

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2
Q

Young child that easily bruises with hemarthrosis - diagnosis and next step?

A

Hemophilia A (8) or B (9), give FFP or factors during bleed

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3
Q

How do you treat von Willebrand disease?

A

Desmopressin

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4
Q

Long stay in the ICU, INR is up, platelets and hemoglobin is normal, diagnosis?

A

Vit K deficiency

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5
Q

Patient has intracranial hemorrhage, the INR is elevated, what is the next step?

A

Give FFP

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6
Q

Platelet bleeding normal count, diagnosis?

A

von Willebrand Disease

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7
Q

Acute flare of ITP?

A

IVIg

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8
Q

Fever, anemia, thrombocytopenia, renal failure, focal deficits, diagnosis?

A

FATRN, TTP

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9
Q

Fibrinogen down, INR up, platelets down, hemoglobin down, diagnosis?

A

DIC

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10
Q

If the fibrinogen is down, you give what?

A

Cryoprecipitate

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11
Q

If you have low platelets, you give what?

A

Platelets

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12
Q

Long term, last resort therapy for ITP?

A

Splenectomy

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13
Q

Smear on DIC shows what?

A

Schistocytes

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14
Q

Smear on TTP shows what?

A

Schistocytes

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15
Q

If splenectomy doesn’t work for ITP, what drug can you try?

A

Rituximab

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16
Q

What is the treatment for HIT?

A

Argatroban then Coumadin

17
Q

What is the treatment for TTP?

A

Plasma Exchange