heparin-induced thrombocytopenia
plt destruction 2ndary to heparin use
DIC
widespread microthrombi-ischemia/infarction
LABS- dec plt count, incre PT/PT, dec of fibrinogen. Microagiopathic hemolytic anemia, INCREASE D_DIMER
Significant lab finding in DIC differ from
D- DImer from splitting of cross linked fibrin NOT fibrinogenin
fibrinolysis normally
TPA converts plasminogen to plasmin cleaves fiibin and serum fibrinogen and helps with PTT aggregation
what activates/inactivates plasmin
activates- tpA
inactivates alpha 2 antiplasmin
fibrinolysis problems
increas PT and PTT = plasmin kils coagulation factors.
increase BT
normal PLts
NO INCREASE IN D-DIMER