SlideShare a Scribd company logo
Hemorrhagic Diathesis Causes: Increased fragility of vessels Platelet deficiency or dysfunction Derangement of coagulation
Vessel Wall Abnormalities Common but bleeding is LESS Serious Normal Coagulation test 1. Microbial damage to Microvasculature or DIC 2. Scurvy – Impaired formation of collagen needed for vessel wall support
3. Drugs – immune complex deposits in vessel wall 4. Hemoch-Scheonleinpurpura –  	unknown systemic hypersensitivity 	disease	involve vessels throughout the 	body & glomerularmesangium 5. Amyloid Infiltration of blood vessels –	weakens the wall  Vessel Wall Abnormalities
R/T THROMBOCYTOPENIA Decrease production Aplastic anemia Leukemias Megalobalstic anemia Decrease platelet survival Immune – mediated Non-immune – mechanical
Sequestration – seen in marked splenomegaly Dilutional – blood stored > 24hours has less viable platelets R/T THROMBOCYTOPENIA
Idiopathic Immune Thrombocytopenic Purpura ( Autoimmune ) 1. Acute Self-limited Hgicdisease Resolve w/in 6mos. Children after Viral infxn 2 week later  Sudden petechiae, purpura Risk for cerebral bleed Severe cases Tx w/ corticosteroids
2. Chronic Adults women < 40y/o Associated with Collagen Vascular Disease CLL HIV Repeated episodes of Bleeding Tx Steroids. IgG, Splenectomy in severe cases Idiopathic Immune Thrombocytopenic Purpura ( Autoimmune )
Deposition of Ig fragments in Amyloidosis
Thrombotic Microangipathies I.  Thrombotic Thrombocytopenic Purpura 	1. Fever 	2. Thrombocytopenia 	3. Microangioapthic hemolytic anemia 	4. Transient Neurological damage 	5. Renal Failure Deficiency of ADAMTS 13 enzyme Results to accumulation of VHMW  vWF promote widesopread platelet Microaggregation
II. Hemolytic –Uremic Syndrome 	1. MicroangiopathicHemolytic anemia 	2. Thrombocytopenia 	3. Prominence of renal failure 	4. No Neurological damage Hx of Enteric infection E. coli Release of Shiga –like toxin  Absorbed in GIT  Binds and Damage endothelial cells in Glomerulus & other sites  Platelet Activation & Aggregation Thrombotic Microangipathies
Widespread formation of hyaline thrombi  in microcircualtion Platelet consumption & Intravascular thrombi Microangiopathic hemolytic anemia Multiple Organ failure Activation of coagualtion cascades is NOT OF PRIMARY IMPORTANCE PT/PTT – usually Normal Thrombotic Microangipathies
Plasmin Act. Proteolysis of clotting facotrs
Bleeding

More Related Content

What's hot

Bleeding and thrombosis final
Bleeding and thrombosis final Bleeding and thrombosis final
Bleeding and thrombosis final
DR MANOJ PRABHAKARAN
 
Approach to bleeding disorder
Approach to bleeding disorderApproach to bleeding disorder
Approach to bleeding disorder
Hayelom Michael Deyo
 
CME: Bleeding Disorders - Clinical Features
CME: Bleeding Disorders - Clinical FeaturesCME: Bleeding Disorders - Clinical Features
CME: Bleeding Disorders - Clinical Features
Stanley Medical College, Department of Medicine
 
Approach to diagnosis of bleeding disorders
Approach to diagnosis of bleeding disordersApproach to diagnosis of bleeding disorders
Approach to diagnosis of bleeding disorders
Biswajeeta Saha
 
Bleeding disorders
Bleeding disordersBleeding disorders
Bleeding disorders
SUNIL KUMAR PEDDANA
 
Bleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBABleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBA
Habibah Chaudhary
 
Bleeding Disorders
Bleeding DisordersBleeding Disorders
Bleeding Disorders
derosaMSKCC
 
Bleeding and clotting disorders
Bleeding and clotting disordersBleeding and clotting disorders
Bleeding and clotting disorders
UMAMAHISHAQ
 
Bleeding disorders Causes, Types, and Diagnosis
Bleeding disorders Causes, Types, and DiagnosisBleeding disorders Causes, Types, and Diagnosis
Bleeding disorders Causes, Types, and Diagnosis
Dr Medical
 
Bleeding disorder
Bleeding disorderBleeding disorder
Bleeding disorder
basiohack
 
7a..bleeding disorder.
7a..bleeding disorder.7a..bleeding disorder.
7a..bleeding disorder.
Afrina Qureshi
 
[Int. med] bleeding disorders from SIMS Lahore
[Int. med] bleeding disorders from SIMS Lahore[Int. med] bleeding disorders from SIMS Lahore
[Int. med] bleeding disorders from SIMS Lahore
Muhammad Ahmad
 
Bleeding and clotting disorders dr anoop k r
Bleeding and clotting disorders dr anoop k rBleeding and clotting disorders dr anoop k r
Bleeding and clotting disorders dr anoop k r
anoop k r
 
Bleeding disorders and their management
Bleeding disorders and their managementBleeding disorders and their management
Bleeding disorders and their management
Dr. Eaketha Nikhil
 
Platelet disoders
Platelet disodersPlatelet disoders
Platelet disoders
pediatricsmgmcri
 
Bleeding disorders(Disorders of Platelets and vessel wall)
Bleeding disorders(Disorders of Platelets and vessel wall)Bleeding disorders(Disorders of Platelets and vessel wall)
Bleeding disorders(Disorders of Platelets and vessel wall)
Rajesh S
 
hematology.wustl.edu/conferences/presentations/bli... hematology.wustl.edu/...
hematology.wustl.edu/conferences/presentations/bli... 	 hematology.wustl.edu/...hematology.wustl.edu/conferences/presentations/bli... 	 hematology.wustl.edu/...
hematology.wustl.edu/conferences/presentations/bli... hematology.wustl.edu/...
MedicineAndHealthCancer
 
Investigation of bleeding disorder || bleeding disorder
Investigation of bleeding disorder ||  bleeding disorderInvestigation of bleeding disorder ||  bleeding disorder
Investigation of bleeding disorder || bleeding disorder
parveen singh
 
Clotting disorders 1/ dental implant courses
Clotting disorders 1/ dental implant coursesClotting disorders 1/ dental implant courses
Clotting disorders 1/ dental implant courses
Indian dental academy
 
Oral consideration and laboratory investigations of bleeding and clotting dis...
Oral consideration and laboratory investigations of bleeding and clotting dis...Oral consideration and laboratory investigations of bleeding and clotting dis...
Oral consideration and laboratory investigations of bleeding and clotting dis...
kashmira483
 

What's hot (20)

Bleeding and thrombosis final
Bleeding and thrombosis final Bleeding and thrombosis final
Bleeding and thrombosis final
 
Approach to bleeding disorder
Approach to bleeding disorderApproach to bleeding disorder
Approach to bleeding disorder
 
CME: Bleeding Disorders - Clinical Features
CME: Bleeding Disorders - Clinical FeaturesCME: Bleeding Disorders - Clinical Features
CME: Bleeding Disorders - Clinical Features
 
Approach to diagnosis of bleeding disorders
Approach to diagnosis of bleeding disordersApproach to diagnosis of bleeding disorders
Approach to diagnosis of bleeding disorders
 
Bleeding disorders
Bleeding disordersBleeding disorders
Bleeding disorders
 
Bleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBABleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBA
 
Bleeding Disorders
Bleeding DisordersBleeding Disorders
Bleeding Disorders
 
Bleeding and clotting disorders
Bleeding and clotting disordersBleeding and clotting disorders
Bleeding and clotting disorders
 
Bleeding disorders Causes, Types, and Diagnosis
Bleeding disorders Causes, Types, and DiagnosisBleeding disorders Causes, Types, and Diagnosis
Bleeding disorders Causes, Types, and Diagnosis
 
Bleeding disorder
Bleeding disorderBleeding disorder
Bleeding disorder
 
7a..bleeding disorder.
7a..bleeding disorder.7a..bleeding disorder.
7a..bleeding disorder.
 
[Int. med] bleeding disorders from SIMS Lahore
[Int. med] bleeding disorders from SIMS Lahore[Int. med] bleeding disorders from SIMS Lahore
[Int. med] bleeding disorders from SIMS Lahore
 
Bleeding and clotting disorders dr anoop k r
Bleeding and clotting disorders dr anoop k rBleeding and clotting disorders dr anoop k r
Bleeding and clotting disorders dr anoop k r
 
Bleeding disorders and their management
Bleeding disorders and their managementBleeding disorders and their management
Bleeding disorders and their management
 
Platelet disoders
Platelet disodersPlatelet disoders
Platelet disoders
 
Bleeding disorders(Disorders of Platelets and vessel wall)
Bleeding disorders(Disorders of Platelets and vessel wall)Bleeding disorders(Disorders of Platelets and vessel wall)
Bleeding disorders(Disorders of Platelets and vessel wall)
 
hematology.wustl.edu/conferences/presentations/bli... hematology.wustl.edu/...
hematology.wustl.edu/conferences/presentations/bli... 	 hematology.wustl.edu/...hematology.wustl.edu/conferences/presentations/bli... 	 hematology.wustl.edu/...
hematology.wustl.edu/conferences/presentations/bli... hematology.wustl.edu/...
 
Investigation of bleeding disorder || bleeding disorder
Investigation of bleeding disorder ||  bleeding disorderInvestigation of bleeding disorder ||  bleeding disorder
Investigation of bleeding disorder || bleeding disorder
 
Clotting disorders 1/ dental implant courses
Clotting disorders 1/ dental implant coursesClotting disorders 1/ dental implant courses
Clotting disorders 1/ dental implant courses
 
Oral consideration and laboratory investigations of bleeding and clotting dis...
Oral consideration and laboratory investigations of bleeding and clotting dis...Oral consideration and laboratory investigations of bleeding and clotting dis...
Oral consideration and laboratory investigations of bleeding and clotting dis...
 

Similar to Bleeding

Approach to extracorpuscular hemolysis
Approach to extracorpuscular hemolysisApproach to extracorpuscular hemolysis
Approach to extracorpuscular hemolysis
Bikal Lamichhane
 
Shock - Pathology - Allied health sciences
Shock - Pathology - Allied health sciencesShock - Pathology - Allied health sciences
Shock - Pathology - Allied health sciences
Dr. Salman Ansari
 
Rbc Patho B
Rbc  Patho BRbc  Patho B
Rbc Patho B
MD Specialclass
 
Rbc Patho B
Rbc  Patho BRbc  Patho B
Rbc Patho B
MD Specialclass
 
ACQUIRED HEMOLYTIC ANEMIA.ppt
ACQUIRED HEMOLYTIC ANEMIA.pptACQUIRED HEMOLYTIC ANEMIA.ppt
ACQUIRED HEMOLYTIC ANEMIA.ppt
JeenaRaj10
 
Heriditary spherocytosis
Heriditary spherocytosisHeriditary spherocytosis
Heriditary spherocytosis
Vijay Shankar
 
Approach to the patient with Glomerular Disease.
Approach to the patient with Glomerular Disease.Approach to the patient with Glomerular Disease.
Approach to the patient with Glomerular Disease.
Sufindc
 
Hereditary Spherocytosis
Hereditary SpherocytosisHereditary Spherocytosis
Hereditary Spherocytosis
srinu.j.rao
 
7-Haemolytic anaemias a sub-type of anemia, a common blood disorder .pdf
7-Haemolytic anaemias  a sub-type of anemia, a common blood disorder .pdf7-Haemolytic anaemias  a sub-type of anemia, a common blood disorder .pdf
7-Haemolytic anaemias a sub-type of anemia, a common blood disorder .pdf
QusayAlMaghayerh
 
5. bleeding disorder
5. bleeding disorder5. bleeding disorder
5. bleeding disorder
Whiteraven68
 
Diagnosis of hemolytic anemia
Diagnosis of hemolytic anemiaDiagnosis of hemolytic anemia
Diagnosis of hemolytic anemia
Dr.Amjed Alnatsheh
 
Leukemia
LeukemiaLeukemia
Leukemia
Rajan Kumar
 
Pathology of blood
Pathology of bloodPathology of blood
Pathology of blood
shaimaaf12
 
Antibody mediated rejection pathology histopathology
Antibody mediated rejection pathology histopathologyAntibody mediated rejection pathology histopathology
Antibody mediated rejection pathology histopathology
Appy Akshay Agarwal
 
Hemorrhagic Syndromes
Hemorrhagic SyndromesHemorrhagic Syndromes
Hemorrhagic Syndromes
Shubham Patil
 
Ppt Presentation For Pac 5110
Ppt Presentation For Pac 5110Ppt Presentation For Pac 5110
Ppt Presentation For Pac 5110
pjaffey
 
hemolytic anemia (cell membrane defect)
hemolytic anemia (cell membrane defect)hemolytic anemia (cell membrane defect)
hemolytic anemia (cell membrane defect)
Afrina Qureshi
 
Anemiahemol
AnemiahemolAnemiahemol
Anemiahemol
Guvera Vasireddy
 
Aplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemiasAplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemias
Vijay Shankar
 
Anemia Basic Lecture Note Prepared by a Student.pdf
Anemia Basic Lecture Note Prepared by a Student.pdfAnemia Basic Lecture Note Prepared by a Student.pdf
Anemia Basic Lecture Note Prepared by a Student.pdf
MaheeshaKodithuwakku
 

Similar to Bleeding (20)

Approach to extracorpuscular hemolysis
Approach to extracorpuscular hemolysisApproach to extracorpuscular hemolysis
Approach to extracorpuscular hemolysis
 
Shock - Pathology - Allied health sciences
Shock - Pathology - Allied health sciencesShock - Pathology - Allied health sciences
Shock - Pathology - Allied health sciences
 
Rbc Patho B
Rbc  Patho BRbc  Patho B
Rbc Patho B
 
Rbc Patho B
Rbc  Patho BRbc  Patho B
Rbc Patho B
 
ACQUIRED HEMOLYTIC ANEMIA.ppt
ACQUIRED HEMOLYTIC ANEMIA.pptACQUIRED HEMOLYTIC ANEMIA.ppt
ACQUIRED HEMOLYTIC ANEMIA.ppt
 
Heriditary spherocytosis
Heriditary spherocytosisHeriditary spherocytosis
Heriditary spherocytosis
 
Approach to the patient with Glomerular Disease.
Approach to the patient with Glomerular Disease.Approach to the patient with Glomerular Disease.
Approach to the patient with Glomerular Disease.
 
Hereditary Spherocytosis
Hereditary SpherocytosisHereditary Spherocytosis
Hereditary Spherocytosis
 
7-Haemolytic anaemias a sub-type of anemia, a common blood disorder .pdf
7-Haemolytic anaemias  a sub-type of anemia, a common blood disorder .pdf7-Haemolytic anaemias  a sub-type of anemia, a common blood disorder .pdf
7-Haemolytic anaemias a sub-type of anemia, a common blood disorder .pdf
 
5. bleeding disorder
5. bleeding disorder5. bleeding disorder
5. bleeding disorder
 
Diagnosis of hemolytic anemia
Diagnosis of hemolytic anemiaDiagnosis of hemolytic anemia
Diagnosis of hemolytic anemia
 
Leukemia
LeukemiaLeukemia
Leukemia
 
Pathology of blood
Pathology of bloodPathology of blood
Pathology of blood
 
Antibody mediated rejection pathology histopathology
Antibody mediated rejection pathology histopathologyAntibody mediated rejection pathology histopathology
Antibody mediated rejection pathology histopathology
 
Hemorrhagic Syndromes
Hemorrhagic SyndromesHemorrhagic Syndromes
Hemorrhagic Syndromes
 
Ppt Presentation For Pac 5110
Ppt Presentation For Pac 5110Ppt Presentation For Pac 5110
Ppt Presentation For Pac 5110
 
hemolytic anemia (cell membrane defect)
hemolytic anemia (cell membrane defect)hemolytic anemia (cell membrane defect)
hemolytic anemia (cell membrane defect)
 
Anemiahemol
AnemiahemolAnemiahemol
Anemiahemol
 
Aplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemiasAplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemias
 
Anemia Basic Lecture Note Prepared by a Student.pdf
Anemia Basic Lecture Note Prepared by a Student.pdfAnemia Basic Lecture Note Prepared by a Student.pdf
Anemia Basic Lecture Note Prepared by a Student.pdf
 

More from MD Specialclass

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
MD Specialclass
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutrition
MD Specialclass
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headaches
MD Specialclass
 
Acute brain attack 911
Acute brain attack  911Acute brain attack  911
Acute brain attack 911
MD Specialclass
 
Hema intro anemia
Hema intro anemiaHema intro anemia
Hema intro anemia
MD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
MD Specialclass
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
MD Specialclass
 
Fever & id diet final
Fever & id diet finalFever & id diet final
Fever & id diet final
MD Specialclass
 
Eating disorders
Eating disordersEating disorders
Eating disorders
MD Specialclass
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
MD Specialclass
 
Eating disorders
Eating disordersEating disorders
Eating disorders
MD Specialclass
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
MD Specialclass
 
Tic disorder
Tic disorderTic disorder
Tic disorder
MD Specialclass
 
Thyroid
ThyroidThyroid
Dermatology dr.n.ramos
Dermatology   dr.n.ramosDermatology   dr.n.ramos
Dermatology dr.n.ramos
MD Specialclass
 
Tic disorder
Tic disorderTic disorder
Tic disorder
MD Specialclass
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
MD Specialclass
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
MD Specialclass
 
Liver disease
Liver diseaseLiver disease
Liver disease
MD Specialclass
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
MD Specialclass
 

More from MD Specialclass (20)

Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...Applied nutrition   3 rd presentation - diseases of liver, gall bladder, and ...
Applied nutrition 3 rd presentation - diseases of liver, gall bladder, and ...
 
Git diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutritionGit diseases presentn no. 2 applied nutrition
Git diseases presentn no. 2 applied nutrition
 
Getting ahead of headaches
Getting ahead of headachesGetting ahead of headaches
Getting ahead of headaches
 
Acute brain attack 911
Acute brain attack  911Acute brain attack  911
Acute brain attack 911
 
Hema intro anemia
Hema intro anemiaHema intro anemia
Hema intro anemia
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL EXCRETA, SEWAGE, REFUSE DISPOSAL
EXCRETA, SEWAGE, REFUSE DISPOSAL
 
Fever & id diet final
Fever & id diet finalFever & id diet final
Fever & id diet final
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Hepatocellular carcinoma
Hepatocellular carcinomaHepatocellular carcinoma
Hepatocellular carcinoma
 
Eating disorders
Eating disordersEating disorders
Eating disorders
 
Normal sleep and sleep disorders
Normal sleep and sleep disordersNormal sleep and sleep disorders
Normal sleep and sleep disorders
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Thyroid
ThyroidThyroid
Thyroid
 
Dermatology dr.n.ramos
Dermatology   dr.n.ramosDermatology   dr.n.ramos
Dermatology dr.n.ramos
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Toxic and drug induced hepatitis
Toxic and drug induced hepatitisToxic and drug induced hepatitis
Toxic and drug induced hepatitis
 
Pancreatic disease
Pancreatic diseasePancreatic disease
Pancreatic disease
 
Liver disease
Liver diseaseLiver disease
Liver disease
 
Complications of cirrhosis
Complications of cirrhosisComplications of cirrhosis
Complications of cirrhosis
 

Recently uploaded

TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Donc Test
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
70KRISHPATEL
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
Dr. Jyothirmai Paindla
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
bkling
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
chandankumarsmartiso
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Swastik Ayurveda
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
Dr. Jyothirmai Paindla
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Dr. Madduru Muni Haritha
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
LaniyaNasrink
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 

Recently uploaded (20)

TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
THERAPEUTIC ANTISENSE MOLECULES .pptx
THERAPEUTIC ANTISENSE MOLECULES    .pptxTHERAPEUTIC ANTISENSE MOLECULES    .pptx
THERAPEUTIC ANTISENSE MOLECULES .pptx
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
 
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
A Classical Text Review on Basavarajeeyam
A Classical Text Review on BasavarajeeyamA Classical Text Review on Basavarajeeyam
A Classical Text Review on Basavarajeeyam
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 

Bleeding

  • 1. Hemorrhagic Diathesis Causes: Increased fragility of vessels Platelet deficiency or dysfunction Derangement of coagulation
  • 2. Vessel Wall Abnormalities Common but bleeding is LESS Serious Normal Coagulation test 1. Microbial damage to Microvasculature or DIC 2. Scurvy – Impaired formation of collagen needed for vessel wall support
  • 3. 3. Drugs – immune complex deposits in vessel wall 4. Hemoch-Scheonleinpurpura – unknown systemic hypersensitivity disease involve vessels throughout the body & glomerularmesangium 5. Amyloid Infiltration of blood vessels – weakens the wall Vessel Wall Abnormalities
  • 4. R/T THROMBOCYTOPENIA Decrease production Aplastic anemia Leukemias Megalobalstic anemia Decrease platelet survival Immune – mediated Non-immune – mechanical
  • 5. Sequestration – seen in marked splenomegaly Dilutional – blood stored > 24hours has less viable platelets R/T THROMBOCYTOPENIA
  • 6. Idiopathic Immune Thrombocytopenic Purpura ( Autoimmune ) 1. Acute Self-limited Hgicdisease Resolve w/in 6mos. Children after Viral infxn 2 week later  Sudden petechiae, purpura Risk for cerebral bleed Severe cases Tx w/ corticosteroids
  • 7. 2. Chronic Adults women < 40y/o Associated with Collagen Vascular Disease CLL HIV Repeated episodes of Bleeding Tx Steroids. IgG, Splenectomy in severe cases Idiopathic Immune Thrombocytopenic Purpura ( Autoimmune )
  • 8.
  • 9. Deposition of Ig fragments in Amyloidosis
  • 10.
  • 11.
  • 12.
  • 13. Thrombotic Microangipathies I. Thrombotic Thrombocytopenic Purpura 1. Fever 2. Thrombocytopenia 3. Microangioapthic hemolytic anemia 4. Transient Neurological damage 5. Renal Failure Deficiency of ADAMTS 13 enzyme Results to accumulation of VHMW vWF promote widesopread platelet Microaggregation
  • 14. II. Hemolytic –Uremic Syndrome 1. MicroangiopathicHemolytic anemia 2. Thrombocytopenia 3. Prominence of renal failure 4. No Neurological damage Hx of Enteric infection E. coli Release of Shiga –like toxin  Absorbed in GIT  Binds and Damage endothelial cells in Glomerulus & other sites  Platelet Activation & Aggregation Thrombotic Microangipathies
  • 15. Widespread formation of hyaline thrombi in microcircualtion Platelet consumption & Intravascular thrombi Microangiopathic hemolytic anemia Multiple Organ failure Activation of coagualtion cascades is NOT OF PRIMARY IMPORTANCE PT/PTT – usually Normal Thrombotic Microangipathies
  • 16. Plasmin Act. Proteolysis of clotting facotrs