Coagulopatia Hemorragica Flashcards

1
Q

Coagulopatia 2 tipos

A

Hereditária
Adquirida

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2
Q

Coagulopatia hereditária (3)

A

Hemofilia A
Hemofilia B
Doença de vW

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3
Q

Hemofilia A

A

Deficiência de fator VIII

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4
Q

Hemofilia B

A

Deficiência de fator IX

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5
Q

Achados clínicos nas hemofilias

A

Hemartrose
Hematomas musculares
Hematúria
Hemorragia intracraniana
Pseudotumor

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6
Q

Gravidade da hemofilia comparada com a porcentagem de fatores presentes

A

<1 : hemofilia grave
1-5 : moderada
>5 : hemofilia leve

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7
Q

Hemofilia grave características

A

Sangramentos espontâneos e frequentes, deformidade de articulação
Deve ser tratada da maneira correta

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8
Q

Hemofilia modera características

A

Hemorragia após traumas, episódios ocasionais

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9
Q

Hemofilia leve características

A

Hemorragia após cirurgia significativa ou traumatismo

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10
Q

Laboratório da hemofilia

A

Tempo de sangramento normal
TtPa anormal
Dosagem de fatores diminuídos

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11
Q

DvW tipos

A

Tipo 1
Tipo 2 (A B M N)
Tipo 3

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12
Q

Tipo 1 DvW

A

Deficiência parcial de FvW
FVIII pode tá normal

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13
Q

Tipo 3 DvW

A

Deficiência completa de FvW
Não adianta repor desmopressina

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14
Q

Tipo 2A DvW (funcional)

A

Afeta hemostasia primária apenas
Capacidade de ligar no FVIII preservada

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15
Q

Tipo 2B DvW

A

Aumenta consumo de plaqueta pq aumenta afinidade pela glicop 1b

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16
Q

Tipo 2M DvW

A

Afeta hemostasia primária tbm mas com multímeros de alto peso molecular normal

17
Q

Tipo 2N DvW

A

Redução de FVIII