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
With Splenectomy you eliminate both?
primary source of ab and site of destruction