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Blood Coagulation
Prep: Amen Ullah
Lecturer Surgical
1studyforum911@hotmail.com12/25/2018
Coagulation
 Coagulation or clotting is defined as the
process in which blood loses its fluidity and
becomes a jelly-like mass few minutes after it
is shed out or collected in a container.
2studyforum911@hotmail.com12/25/2018
Factors involved in Blood Clotting
 Factor I Fibrinogen
 Factor II Prothrombin
 Factor III Thromboplastin
(Tissue factor)
 Factor IV Calcium
 Factor V Labile factor
(Proaccelerin or accelerator
globulin)
 Factor VI Presence has not
been proved
 Factor VII Stable factor
 Factor VIII Antihemophilic
factor (Antihemophilic
globulin)
 Factor IX Christmas factor
 Factor X Stuart-Prower
factor
 Factor XI Plasma
thromboplastin antecedent
 Factor XII Hageman factor
(Contact factor)
 Factor XIII Fibrin-stabilizing
factor (Fibrinase).
3studyforum911@hotmail.com12/25/2018
Stages of Blood Clotting
 In general, blood clotting occurs in three
stages:
1. Formation of prothrombin activator
2. Conversion of prothrombin into thrombin
3. Conversion of fibrinogen into fibrin
4studyforum911@hotmail.com12/25/2018
STAGE 1: Formation of Prothrombin
Activator
 Thus, formation of prothrombin activator
occurs through two pathways:
i. Intrinsic pathway
ii. Extrinsic pathway.
5studyforum911@hotmail.com12/25/2018
6studyforum911@hotmail.com12/25/2018
712/25/2018 studyforum911@hotmail.com
Blood Clot
 Blood clot is defined as the mass of coagulated blood
which contains RBCs, WBCs and platelets entrapped in
fibrin meshwork. RBCs and WBCs are not necessary for
clotting process.
 However, when clot is formed, these cells are trapped
in it along with platelets.
 The trapped RBCs are responsible for the red color of
the clot.
 The external blood clot is also called scab. It adheres
to the opening of damaged blood vessel and prevents
blood loss
8studyforum911@hotmail.com12/25/2018
Clot Retraction
 The process involving the contraction of blood
clot and oozing of serum is called clot
retraction (30-40 mints after).
 Contractile proteins, namely actin, myosin and
thrombosthenin in the cytoplasm of platelets
are responsible for clot retraction
9studyforum911@hotmail.com12/25/2018
Fibrinolysis
 Lysis of blood clot inside the blood vessel is
called fibrinolysis.
 It helps to remove the clot from lumen of the
blood vessel.
 This process requires a substance called
plasmin or fibrinolysin.
10studyforum911@hotmail.com12/25/2018
Anticoagulants
 Substances which prevent or postpone
coagulation of blood are called anticoagulants.
1. Heparin
2. Coumarin Derivatives
3. EDTA
4. Oxalate Compounds
5. Citrates
11studyforum911@hotmail.com12/25/2018
Thrombosis
 Thrombosis or intravascular blood clotting refers to
coagulation of blood inside the blood vessels.
 Normally, blood does not clot in the blood vessel because
of some factors which are already explained.
 But some abnormal conditions cause thrombosis.
Causes of Thrombosis
1. Injury to blood vessels
2. Roughened endothelial lining
3. Sluggishness of blood flow
4. Agglutination of RBCs
5. Toxic thrombosis
6. Congenital absence of protein C
12studyforum911@hotmail.com12/25/2018
Complications of Thrombosis
1. Thrombus
2. Embolism and embolus
3. Ischemia
4. Necrosis and infarction
13studyforum911@hotmail.com12/25/2018
BLEEDING DISORDERS
 Bleeding disorders are the conditions
characterized by
prolonged bleeding time or clotting time.
Bleeding disorders are of three types:
1. Hemophilia.
2. Purpura.
3. von Willebrand disease
14studyforum911@hotmail.com12/25/2018
tHANK yOU
&
gET rELAXED
15studyforum911@hotmail.com12/25/2018

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Blood Coagulation or hemostasis

  • 1. Blood Coagulation Prep: Amen Ullah Lecturer Surgical 1studyforum911@hotmail.com12/25/2018
  • 2. Coagulation  Coagulation or clotting is defined as the process in which blood loses its fluidity and becomes a jelly-like mass few minutes after it is shed out or collected in a container. 2studyforum911@hotmail.com12/25/2018
  • 3. Factors involved in Blood Clotting  Factor I Fibrinogen  Factor II Prothrombin  Factor III Thromboplastin (Tissue factor)  Factor IV Calcium  Factor V Labile factor (Proaccelerin or accelerator globulin)  Factor VI Presence has not been proved  Factor VII Stable factor  Factor VIII Antihemophilic factor (Antihemophilic globulin)  Factor IX Christmas factor  Factor X Stuart-Prower factor  Factor XI Plasma thromboplastin antecedent  Factor XII Hageman factor (Contact factor)  Factor XIII Fibrin-stabilizing factor (Fibrinase). 3studyforum911@hotmail.com12/25/2018
  • 4. Stages of Blood Clotting  In general, blood clotting occurs in three stages: 1. Formation of prothrombin activator 2. Conversion of prothrombin into thrombin 3. Conversion of fibrinogen into fibrin 4studyforum911@hotmail.com12/25/2018
  • 5. STAGE 1: Formation of Prothrombin Activator  Thus, formation of prothrombin activator occurs through two pathways: i. Intrinsic pathway ii. Extrinsic pathway. 5studyforum911@hotmail.com12/25/2018
  • 8. Blood Clot  Blood clot is defined as the mass of coagulated blood which contains RBCs, WBCs and platelets entrapped in fibrin meshwork. RBCs and WBCs are not necessary for clotting process.  However, when clot is formed, these cells are trapped in it along with platelets.  The trapped RBCs are responsible for the red color of the clot.  The external blood clot is also called scab. It adheres to the opening of damaged blood vessel and prevents blood loss 8studyforum911@hotmail.com12/25/2018
  • 9. Clot Retraction  The process involving the contraction of blood clot and oozing of serum is called clot retraction (30-40 mints after).  Contractile proteins, namely actin, myosin and thrombosthenin in the cytoplasm of platelets are responsible for clot retraction 9studyforum911@hotmail.com12/25/2018
  • 10. Fibrinolysis  Lysis of blood clot inside the blood vessel is called fibrinolysis.  It helps to remove the clot from lumen of the blood vessel.  This process requires a substance called plasmin or fibrinolysin. 10studyforum911@hotmail.com12/25/2018
  • 11. Anticoagulants  Substances which prevent or postpone coagulation of blood are called anticoagulants. 1. Heparin 2. Coumarin Derivatives 3. EDTA 4. Oxalate Compounds 5. Citrates 11studyforum911@hotmail.com12/25/2018
  • 12. Thrombosis  Thrombosis or intravascular blood clotting refers to coagulation of blood inside the blood vessels.  Normally, blood does not clot in the blood vessel because of some factors which are already explained.  But some abnormal conditions cause thrombosis. Causes of Thrombosis 1. Injury to blood vessels 2. Roughened endothelial lining 3. Sluggishness of blood flow 4. Agglutination of RBCs 5. Toxic thrombosis 6. Congenital absence of protein C 12studyforum911@hotmail.com12/25/2018
  • 13. Complications of Thrombosis 1. Thrombus 2. Embolism and embolus 3. Ischemia 4. Necrosis and infarction 13studyforum911@hotmail.com12/25/2018
  • 14. BLEEDING DISORDERS  Bleeding disorders are the conditions characterized by prolonged bleeding time or clotting time. Bleeding disorders are of three types: 1. Hemophilia. 2. Purpura. 3. von Willebrand disease 14studyforum911@hotmail.com12/25/2018