Platelet Disorders Flashcards
Defect in Gp1b
Bernard Soulier’s Disease
All Platelet Disorders have Normal what? and Increased what?
- Normal PTT, PT
2. Increased BT
Defect in platelet to-vwF adhesion defect?
Bernard Soulier (Big Sucker)
Bernard Soulier’s Disease is what kind of defect?
Adhesion
platelet disorders leads to what kind of bleeding? vs Coagulation disorders
Platelet disorders=>epitaxis, mucosal bleeding
Coagulation disorders=>deep bleeding
What disorders and drugs affect II/IIIb?
Glanzmann thrombasthenia
Immune thrombocytopenia
Abciximab, eptifibatide, tirofiban.
Glanzmann thrombasthenia is due to?
Decreased II/IIIb
Immune thrombocytopenia is due to?
IgG antibodies against II/IIIb
MCC of thrombocytopenia?
ITP
ITP means?
In two places
ITP labs?
Increased megakaryocytes
TTP mnemonic?
Thirteen Thrombosis Problem
TTP pathogenesis?
Inhibition of ADAMTS 13 (vWF metalloprotease)=> large vWF platelters=>thrombosis=>schistocytes and hemolysis
TTP Labs?
LDH and schistocytes
TTP symptoms?
FAT RN
Fever, Anemia (MAMA) Thrombocytopenia, Renal and Neurologic