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23 Cards in this Set

  • Front
  • Back
hypercoag state iss assoc w an incre risk of?
thromboembolic dis
hy st is assoic w?
thromb dis includ dvt, pulmonary embolus, cerebrovasculary accid
hypercoag st
hist/pe
pat w congenital hyperc pres w?
ven thromb or recurrent thromboembolism in adolesc or early adult life
hypercoag st
history/pe
first dvt what does a patient need?
does not need a workup for hypercoag st
hypercoag st
history/pe
maint a high lev of suspic when?
pat has venous thromb in unusual locat like mesenteric, hepatic, splenic venous beds, and recurrent thrombososes
hypercoag state
hist/pe
what are unusual locat for ven thromb?
mesenteric, hepatic, splenic venous beds.
hypercoag state
hist/pe
arterial thrombosis can manifest as?
1. large vessel occul
2. microvascular events
hypercoag state
hist/pe
arterial thrombosis
ex of large scale occul?
stroke, mi
hypercoag state
hist/pe
arterial thrombosis
ex of microvasc events?
erythromelalgia-painful redness and burning of the hands
hypercoag state
hist/pe
erthromelalgia is?
painful redness and burning of the hands. seen in myeloproliferative disorders
hypercoag state
hist/pe
name inherited causes?
1.factor V leiden (or activate prot c resistance)
2 prot C deficiency
3. antithrombin III defic
4. homocystinemia
5. fibrinolysis defects
6. prothrombin g mutation
factor V leiden is also called?
activated protein C resistance
hypercoag state
hist/pe
name acquired causes. 1-5
1. cancer- trousseau's syndrome
2. MI
3. prolonged bed rest or immobil
4. preggers, estrogens
5. tiss damage- surg, fract
hypercoag state
hist/pe
name acquired causes 6-10
6. hyperlipidemia
7. vasculitis
8. multiple myeloma
9. lupus anticoagulant (antiphospholipid syndrome)
10. nephrotic syndrome
lupus anticoagulant is also?
antiphospholipid syndrome
hypercoag state
hist/pe
acq causes 11-16
11. smoking
12. warfarin
13. myeloproliferative dis like essent thrombocytosis, polycythemia vera
14. paroxysmal nocturnal hemoglobinuria
15. heparin induced thrombocypopenia/thrombosis
16. TTP- thrombotic thrombocytopenia purpura
hypercoag state
hist/pe
ex of myeloproliferative disorders that cause hypercoag state
1. essential thrombocytosis
2. polycythemia vera
polycythemia vera is?
chronic life shortening myeloproliferative dis results from reprod of a single cell clone.
incr in rbc mass and hemoglobin concentr
symptoms of polycythemia vera are?
weakness, fatigue, bl clotting, vertigo, tinnitus, irritability, flush of face. bone marr shows incr cellularity. peptic ulcers
vasculitis is?
inflammat of bl vess caused by deposition of antigen antib complexes.
vasculitis is seen in?
systemic lupus, erythematosus, rheumatoid arthritis, hepatitis B and C
what should you suspect in a patient w rapid onset of tachypnea, tachycardia, hypoxia, hypocapnia, and increased A-a gradient?
pulmonary embolism
hypocapnia is?
decreased amount of CO2 in bl