DISSEMINATED INTRAVASCULAR COAGULATION(DIC)AMAN MAURYAROLL NO- 1O
DICIt is an acute, subacute, or chronic thrombohemorrrhagicdisorder.It occurs as secondary complication of various diseases.An acquired syndrome characterized by systemicintravascularcoagulationCoagulation is always the initial event.WWW. Coumadin.com
DICSYSTEMIC ACTIVATION OF COAGULATIONMost morbidity and mortality depends on extent of intravascular thrombosisIntravascular deposition of fibrinDepletion of platelets and coagulation factorsThrombosis of small and midsize vesselsBleedingDEATHOrgan failure
D. I. C. Causes
Clinical  Manifestations of DICIschemic Findingsare earliest!Bleeding is the most obvious clinical finding
Clinical Manifestations of DIC
Laboratory diagnosisThrombocytopeniaplatelet count <100,000 or rapidly decliningProlonged clotting times (PT, APTT)Presence of Fibrin degradation products or positive D-dimerLow levels of coagulation inhibitorsAT III, protein CLow levels of coagulation factorsFactors V,VIII,X,XIIIFibrinogen levels not useful diagnostically
Treatment of DICStop the triggering process .The only proven treatment!Supportive therapyNo specific treatmentsPlasma and platelet substitution therapyAnticoagulantsPhysiologic coagulation inhibitors
SummaryDIC is a syndrome characterized systemic intravascular coagulation.Coagulation is the initial event and the extent of intravascular thrombosis has  the greatest impact on morbidity and mortality.Important link between inflammation and coagulation. Morbidity and mortality remain high.The only proven treatment is reversal or controlof the underlying cause.

Disseminated intravascular coagulation (dic)

  • 1.
  • 2.
    DICIt is anacute, subacute, or chronic thrombohemorrrhagicdisorder.It occurs as secondary complication of various diseases.An acquired syndrome characterized by systemicintravascularcoagulationCoagulation is always the initial event.WWW. Coumadin.com
  • 3.
    DICSYSTEMIC ACTIVATION OFCOAGULATIONMost morbidity and mortality depends on extent of intravascular thrombosisIntravascular deposition of fibrinDepletion of platelets and coagulation factorsThrombosis of small and midsize vesselsBleedingDEATHOrgan failure
  • 4.
    D. I. C.Causes
  • 5.
    Clinical Manifestationsof DICIschemic Findingsare earliest!Bleeding is the most obvious clinical finding
  • 6.
  • 7.
    Laboratory diagnosisThrombocytopeniaplatelet count<100,000 or rapidly decliningProlonged clotting times (PT, APTT)Presence of Fibrin degradation products or positive D-dimerLow levels of coagulation inhibitorsAT III, protein CLow levels of coagulation factorsFactors V,VIII,X,XIIIFibrinogen levels not useful diagnostically
  • 8.
    Treatment of DICStopthe triggering process .The only proven treatment!Supportive therapyNo specific treatmentsPlasma and platelet substitution therapyAnticoagulantsPhysiologic coagulation inhibitors
  • 9.
    SummaryDIC is asyndrome characterized systemic intravascular coagulation.Coagulation is the initial event and the extent of intravascular thrombosis has the greatest impact on morbidity and mortality.Important link between inflammation and coagulation. Morbidity and mortality remain high.The only proven treatment is reversal or controlof the underlying cause.