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Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Intravascular Coagulation (DIC ... • Prolonged PT/PTT ... Manifestations of DIC ... PT/INR: ↑ • PTT ... INR < 2.3 - APTT
Prothrombin Time (PT) and Partial Thromboplastin Time (PTT)

Prothrombin Time (PT) - Often Elevated in:
 • Vitamin
Thromboplastin Time (PTT ... Thromboplastin Time (PTT ... elevated in: • DIC ... thematttsai #PT #PTT
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Abnormal PT and/or aPTT ... typically prolong aPTT ... may prolong the aPTT ... Prolonged PT and aPTT ... intravascular coagulation (DIC
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
Prolonged PT and aPTT ... the PT and the aPTT ... intravascularcoagulation (DIC ... #Abnormal #PT #aPTT
ISTH Scoring System for Disseminated Intravascular Coagulation (DIC)
Platelet count:
 • Expected: Low (or normal)
 • Elevation
Intravascular Coagulation (DIC ... aggregation PT, aPTT ... small vessels #DIC
Differentiating Pacemaker vs ICD on Chest XRay
 - Single Chamber PPM
 - Single Chamber ICD
 -
ICD #ChestXRay #CXR ... #Radiology #comparison ... #clinical #cardiology
Chest XRay Anatomy Labeled

#Clinical #Radiology #Anatomy #CXR #ChestXRay #Labeled
Labeled #Clinical #Radiology ... #Anatomy #CXR #
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
ultrasound • CXR ... LET, lipase, PT. aPTT
Therefore, studies obtained at the initial presentation in the emergency department should evaluate for fibrinolysis with
thromboplastin time (PTT ... decompensated DIC ... Diagnosis #Honc #DIC
Chest XRay Consolidation Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Consolidation #Pattern #Differential #Algorithm #RadiologyAssistant
Algorithm #Diagnosis #Radiology ... #Pulmonary #CXR