bleeding Flashcards

1
Q

what is factor I

A

fibrinogen

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2
Q

what is factor II

A

prothrombin

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3
Q

what clotting factor protein that is never made In liver

A

vWF

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4
Q

where is factor V made

A

liver and megakaryocytes

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5
Q

where is factor 8 made

A

liver and endothelial cells

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6
Q

where is factor 13 made

A

liver and macrophages

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7
Q

where is VWF made

A

endothelial cells and megacaryocytes

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8
Q

all clotting factors are low in infants except these 3

A

fibrinogen, factor 8, vWF

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9
Q

what factor has the shortest half life

A

7

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10
Q

what factor hast he longest half life

A

13

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11
Q

components fo teh contact activation system

A

HMW kiniogen, prekallikrein, factor 12 and factor 11

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12
Q

what is in platelet alpha granules

A

proteins- vWF, factor V, fibrinogen

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13
Q

what is the vWF receptor on platelets and disease if you’re missing it

A

gp1b-9-5 this is the disease is Bernard soulier

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14
Q

what is the fibrinogen receptor on platelets and disease if this is missing

A

gp1b/2a- disease is glanzmans

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15
Q

thrombin has a direct effect on 6 coag factors. name them

A

activates 8 to 8a, V to Va, 11 to 11a, fibrinogen to fibrin and then 13 to 13a and TAFI to TAFI a (last two are antifibrionolytic)

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16
Q

what factor cross links fibrin

A

13

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17
Q

what does thrombin do to platelet

A

activates them

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18
Q

what does thrombomodulin + thrombin do

A

activates protein C

19
Q

what does protein C do

A

inhibits Va and 8a

20
Q

what does antithrombin do

A

inhibits thrombin and 10ah

21
Q

what does protein S do

A

protein c needs protein S to inhibit 5a and8a

22
Q

what is PAI1

A

plasminogen activator inhibitor type 1- inhibits TPA

23
Q

what does TPA do

A

plasminogen into plasmin

24
Q

what is thrombin time testing

A

fibrinogen to fibrin via thrombin

25
three factors that are acute phase reactaqnts
fibrinogen, 8, vWF
26
how does lupus anticoagulant (rarely) cause bleeding
can bind to prothrombin and cause deficiency
27
what is klippel-trenauny syndrome
large vascular malformation affecting one quadrant of the body
28
how can peg asparaginase case bleeding
decreased antithrombin, protein S, protein C, and fibrinogen
29
describe vWD 2a
multimerizastion defect- you dont have the large multimers
30
describe vWD2b
platelets and vWF stick way TOO well. missing large multimers and if you die ddavp you will drop platelet count
31
what is vWD 2M
loss of function (opposite of 2b) plt can't bind VZWD.
32
what is type 2N vWD
vWD can't bind factor 8. looks almost like hemophilia
33
define type 3 vWD
factor and activity are below 10%
34
what is the only autosomal recessive vWD
type 3
35
what type of vWD aggregat4es with low dose ristocetin
2B
36
definition of severe, moderate, and mild for hemophilia
severe is <1, moderate is 1-5, mild is 5-40%
37
factor 8: 1U/kg increases factor by
TWO percent
38
factor 9: 1U/kg increases factor by
ONE percent
39
define high titer hemophilia
more than 5 BU
40
time points for early, classical, and late for vitamin K def
first 24 hours, 2-7 days, then older than 1 month
41
factor deficiency to associate with pregnancy loss and spleen rupture
fibrinogen deficiency
42
factor deficiency common in ashkenazi jews but most patients dont bleed
11
43
what factor def is most associated with intracranial bleed
13
44
how does factor XIII present
umbilical stump bleeding