PTT Flashcards

1
Q

Pentada de PTT

A

1) Anemia hemolítica Microangiopatica.
2) Trombocitopenia.
3) I. Renal.
4) Datos neurologicos. ( Problemas visuales,parestesias y cefaleas)
5) Fiebre.

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2
Q

Fisiopato de PTT

A

VwF es escindido poe ADAMTS13. Aquí no pasa eso y se producen multimeros de VwF de gran tamaño, produciendo agregación plaquetaria y trombosis.

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3
Q

En quién es más frecuente la PTT

A

Mujeres.
Embarazadas.
VIH

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4
Q

Dx.

A
Acido lactico elevado.
Bilurrubina I. Elevada.
Haptoglobina disminuida
Retis elevados.
Esquistositos.
Antiglobulina directa (-)
TP y TPT normales.
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5
Q

Tratamiento

A

Plasmaferesis, Vincristina,rituximab

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6
Q

Dx. Diferencial

A

SUH

Sx. De Hellp

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7
Q

PTT hereditaria.

A

Sx. De Upshaw schulman. Tx con Inmunosupresores.

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