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Kaplan Qbank USMLE



Author3 Posts
  #1

best tretment for coagulopathy ????

ITP = Fresh Frozen Plasma

TTP = Fresh frozen plasma ..

DIC = iv heparin

Hemophilia = cryoprecipitate

VW Factor deficiency = cryoprecipitate

Heparin induced thromobocytopenia = stop heparin ( may start direct thrombin inhibitor)


please correct me if i m wrong ...

thankyou

  #2

depends on if pt is bleeding/platelet count.

1) ITP: splenectomy

2) TTP: plasmaspheresis (+steroid/ASA) or splenectomy

3) Hemophilia: factor 8 or 9 (A or B)

4) VW: factor 8 AND vW factor (if sereve); DDAVP if mild

  #3

input:
it depends on case and symptomes your patient present in.
According to C. Fischer (IM Qb) , if ITP with isolated thrombocytopenia, life-threatening bleeding, platelet count is profoundly low but the rest of blood is normal ( CBC,WCC,Ht, periferal smear), normal-sized spleen- treatment is IV immunoglobulins & steroids. Becouse the fastest way to raise the platelet count with IV Ig or anti-Rh Ig.








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