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diagnosis hematology differential causes teg bruising management thromboelastography bleeding dermatology disseminated intravascular laboratory purpura thrombocytopenia aafp criticalcare hemorrhage hemostasis isth
Thromboelastogram Interpretation Reaction Time (R Value): - Time till initiation of fibrin clot - Treatment: FFP, protamine K
Thromboelastogram ... Interpretation ... - Treatment: Platelets ... #TEG #Interpretation ... Thromboelastography #diagnosis #coagulation
ISTH Scoring System for Disseminated Intravascular Coagulation (DIC) Platelet count: • Expected: Low (or normal) • Elevation
Intravascular Coagulation ... (DIC) Platelet ... thrormbin-induced platelet ... consumption of coagulation ... small vessels #DIC
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
(DIC) Overview ... : • Platelet count ... Thrombocytopenia - Platelet ... Thrombocytopenia - Normal ... - APTT < 1.5 x normal
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
RBC's secondary to platelet ... defects • Coagulation ... marrow disease - DIC ... Defects: • DIC ... Decreased Support Of Dermal
Thromboelastography (trademarked as TEG) • Graphical representation of the fibrin polymerization process • Point-of-care anti-coagulation monitoring
Point-of-care anti-coagulation ... routine transfusion algorithms ... deficiency → give platelets ... Thromboelastography #Thromboelastogram ... #TEG #interpretation
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm Thrombocytopenia - Quantitative Defect • Decreased Production •
Differential Diagnosis Algorithm ... Destruction • Abnormal ... Sequestration Disordered Platelet ... • Vasculitis Coagulation ... Differential #Diagnosis #Algorithm
Normal Thromboelastogram - Specific parameters represent the 3 phases of the cell-based model of haemostasis: initiation,
Normal Thromboelastogram ... Diagnosis #Hematology #Coagulation ... #Thromboelastogram ... #TEG #Normal #Interpretation
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework == Quantitative or Qualitative defect in
Qualitative defect in platelets ... characteristic of a platelet ... inhibitor of a coagulation ... Warfarin • Acute DIC ... disease • Acute DIC
THROMBOELASTOGRAPHY (TEG) General Principle • A small cuvette is rotated to simulate sluggish venous flow and stimulate clot
problems with coagulation ... cascade and platelet ... nickmmark #TEG #Thromboelastogram ... CriticalCare #Hematology #Interpretation
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... platelet function ... fulminans - DIC ... Complete blood count coagulation ... Differential #Diagnosis #Algorithm
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