Pathology Of Hemorrhage Flashcards

1
Q

What is hemorrhage?

A

Hemorrhage is the extravasation of blood from a damaged blood vessel.

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2
Q

How is hemorrhage classified?

A

Hemorrhage can be classified as acute or chronic, external or internal, minor (petechiae, ecchymosis) or major (involving organs).

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3
Q

What is the global burden of injury-related hemorrhage?

A

In 2000, injuries accounted for 9% of global mortality and 12% of disease burden. About 90% of injuries occur in low and middle-income nations.

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4
Q

What are the main causes of hemorrhage?

A

Causes include trauma, vascular defects (atherosclerosis, aneurysms), defective coagulation, and cancers.

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5
Q

How much blood can a healthy adult tolerate losing without symptoms?

A

Most adults can lose up to 14% of their blood volume without physical symptoms.

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6
Q

What are the stages of hemorrhage?

A

Class I: Up to 15% blood loss, Class II: 15-30% blood loss, Class III: 30-40% blood loss, Class IV: Over 40% blood loss.

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7
Q

What are the symptoms of Class II hemorrhage?

A

Symptoms include nausea, fatigue, pallor, cooling of extremities, tachycardia, and tachypnea.

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8
Q

What is the hallmark of hemorrhage morphology?

A

The hallmark is the collection of red blood cells outside vascular channels.

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9
Q

What are petechiae?

A

Petechiae are pinpoint non-blanching spots, less than 2 mm, affecting the skin and mucous membranes.

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10
Q

What are common causes of petechiae?

A

Causes include thrombocytopenia, platelet dysfunction, coagulation disorders, and loss of vascular integrity.

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11
Q

What are purpura?

A

Purpura are non-blanching spots greater than 2 mm, often associated with small vessel cutaneous vasculitis.

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