Week 7- Approach to Coagulopathies Flashcards

(50 cards)

1
Q

What are the three phases of the cell based model of coagulation

A

Initiation Amplification Propagation

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2
Q

What is primary haemostasis

A

Formation of a platelet plug at the site of vessel injury

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3
Q

What is secondary haemostasis

A

Cascade of clotting factors that stabilise the platelet plug with fibrin

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4
Q

What does fibrinolysis do

A

Breaks down fibrin to control clot size and remove clot

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5
Q

What are the components of primary haemostasis

A

Platelets Endothelium von Willebrand factor

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6
Q

What are the components of secondary haemostasis

A

Clotting factors produced by the liver

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7
Q

Which pathway does PT assess

A

Extrinsic and common pathway

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8
Q

Which pathway does aPTT assess

A

Intrinsic and common pathway

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9
Q

Which clotting factor has the shortest half life

A

Factor VII

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10
Q

What does a prolonged PT indicate

A

Defect in the extrinsic pathway

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11
Q

What does a prolonged aPTT indicate

A

Defect in the intrinsic pathway

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12
Q

What does prolonged PT and aPTT suggest

A

Common pathway or multiple factor deficiencies

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13
Q

Which factors are vitamin K dependent

A

Factors II VII IX X

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14
Q

What is the effect of rodenticide poisoning

A

Inhibits vitamin K recycling leading to coagulopathy

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15
Q

Which test is prolonged first in rodenticide poisoning

A

PT

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16
Q

Which dog breed is predisposed to von Willebrand disease

A

Doberman

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17
Q

What test is used to assess platelet and vessel function

A

Buccal mucosal bleeding time

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18
Q

What is the normal BMBT in dogs

A

2 to 4 minutes

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19
Q

What is the most likely cause of delayed bleeding 48 hours post op in a greyhound

A

Primary hyperfibrinolysis

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20
Q

What drug can treat hyperfibrinolysis

A

Tranexamic acid

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21
Q

What disease does SNAP 4Dx test for

A

Anaplasma Ehrlichia Lyme disease and heartworm

22
Q

What blood smear finding may cause falsely low platelet count in cats

A

Platelet clumping

23
Q

What is the significance of platelet count below 50000 per microlitre

A

Risk of spontaneous bleeding

24
Q

What does petechiae indicate

A

Primary haemostatic disorder

25
What does a haematoma or cavity bleed suggest
Secondary haemostatic disorder
26
What is DIC
Disseminated intravascular coagulation
27
What is the pathophysiology of DIC
Widespread clotting uses up clotting factors and platelets causing bleeding
28
What conditions can cause DIC
Sepsis trauma neoplasia heatstroke snakebite
29
What is the first step in managing a bleeding animal
Stabilise cardiovascular system
30
Which diagnostic test detects clot breakdown
D dimer
31
What is the effect of liver failure on haemostasis
Reduces production of clotting factors causing coagulopathy
32
Which clotting factor is deficient in haemophilia A
Factor VIII
33
Which clotting factor is deficient in haemophilia B
Factor IX
34
How is haemophilia diagnosed
Prolonged aPTT and factor assays
35
Which animals are predisposed to haemophilia
Young male dogs
36
What is the function of von Willebrand factor
Mediates platelet adhesion to damaged endothelium
37
What does a prolonged BMBT with normal platelets suggest
von Willebrand disease
38
What is the first line treatment for ehrlichiosis
Doxycycline
39
Which diagnostic test is most useful for rapid detection of a cavity bleed
POCUS
40
What is the purpose of the APL valve in anaesthesia
Controls pressure in the breathing circuit
41
What is the first stick principle in coag testing
Collect blood cleanly to avoid tissue factor contamination
42
What does FDP stand for
Fibrin degradation products
43
What does a high D dimer indicate
Recent clot formation and breakdown
44
Which clotting factors are affected in vitamin K deficiency
II VII IX X
45
What clinical signs suggest secondary haemostatic disorder
Haemothorax haematomas joint bleeding
46
What clinical signs suggest primary haemostatic disorder
Petechiae mucosal bleeding
47
What is the most common acquired coagulopathy in dogs
Vitamin K antagonist toxicity
48
What is the most common hereditary bleeding disorder in dogs
von Willebrand disease
49
Which test is useful before liver biopsy to assess bleeding risk
Coagulation profile
50
Why does thrombocytopaenia occur in ehrlichiosis
Immune mediated destruction or bone marrow suppression