Coag Cascade
Name the Disorder
Normal Hemostasis
Platelets
Laboratory Evaluation
100

Factors XII, XI, IX, &VIII are all part of this coagulation pathway.

Intrinsic Pathway

100

This is the most prevalent inherited bleeding disorder.

von Willebrand Disease

100

The majority of coagulation factors are synthesized by this organ.

The Liver

100

What is the term for a decreased platelet count (platelet count <150)

Thrombocytopenia

100

The majority of routine coagulation testing is done with this specimen type.

Sodium citrate, Platelet poor plasma

200

This test is useful in evaluation of the extrinsic pathway.

PT

200

This is an inherited disorder of platelet aggregation.

Glanzmann Thrombasthenia

200

These cells are incorporated into the clot during primary hemostasis and provide structural integrity.

Red Blood Cells

200

One third of your platelet volume can be found in this organ.

The Spleen

200

This preanalytic variable will cause a falsely decreased platelet count in a CBC collected in EDTA, but can be mitigated by recollecting in sodium citrate tube.

Platelet Satellitism

300

This factor is essential for crosslinking fibrin and stabilizing blood clots.

Factor XIII

300

This disorder caused excessive deposition of platelets in small vessels as the result of decreased ADAMTS-13.

TTP (Thrombotic thrombocytopenic purpura)

300

This is the primary substance responsible for initiating fibrinolysis.

TPA

300

You would expect to see these bleeding symptoms in patients with platelet disorders. (5)

Purpura, ecchymoses, epistaxis, menorrhagia, gingival bleeding

300

This myeloproliferative disorder is characterized by platelet count >1,000 and giant or bizarre shaped platelets. 

Essential Thrombocytopenia

400

This factor is released by damaged endothelial cells and initiates one of the coagulation pathways.

Tissue Factor/Factor III

400

In this disease, platelets, leukocytes, and endothelial cells are activated by Shiga toxin, resulting in the formation thrombi in small vessels.

HUS (hemolytic uremic syndrome)

400

These are the storage site for serotonin, ADP, ATP, TXA2 and calcium

Dense granules

400

In this step of primary hemostasis platelets bind to each other by means of fibrin and GPIIb/IIIa.

Aggregation

400

This test is used to evaluate whether and abnormal coagulation test is due to a factor deficiency or a circulating inhibitor.

Mixing studies

500

vWF serves as a carrier protein for this coagulation factor, extending its half-life.

Factor VIII

500

This disorder is characterized by severe eczema, thrombocytopenia and recurrent infections.

Wiskott-Aldrich syndrome

500

A deficiency in these proteins is associated with increased risk of thrombosis.

Proteins C & S

500

This platelet membrane receptor is vital in platelet adhesion.

Glycoprotein Ib

500

In this thrombocytopenic disorder you will see increased LDH, decreased haptoglobin, and schistocytes on the peripheral smear.

TTP

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