Bleeding disorders

BLEEDING DISORDERS www.freelivedoctor.com

HEMOSTASIS 1. VASCULAR PHASE 2. PLATELET PHASE 3. COAGULATION PHASE 4. FIBRINOLYTIC PHASE www.freelivedoctor.com

VASCULAR PHASE WHEN A BLOOD VESSEL IS DAMAGED, VASOCONSTRICTION RESULTS. www.freelivedoctor.com

PLATELET PHASE PLATELETS ADHERE TO THE DAMAGED SURFACE AND FORM A TEMPORARY PLUG. www.freelivedoctor.com

COAGULATION PHASE THROUGH TWO SEPARATE PATHWAYS THE CONVERSION OF FIBRINOGEN TO FIBRIN IS COMPLETE. www.freelivedoctor.com

FIBRINOLYTIC PHASE ANTICLOTTING MECHANISMS ARE ACTIVATED TO ALLOW CLOT DISINTEGRATION AND REPAIR OF THE DAMAGED VESSEL. www.freelivedoctor.com

HEMOSTASIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

THE CLOTTING MECHANISM INTRINSIC EXTRINSIC PROTHROMBIN THROMBIN FIBRINOGEN FIBRIN (II) (III) (I) V X Tissue Thromboplastin Collagen VII XII XI IX VIII www.freelivedoctor.com

LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

PLATELET COUNT ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

BLEEDING TIME ,[object Object],[object Object],[object Object],www.freelivedoctor.com

PROTHROMBIN TIME ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

PARTIAL THROMBOPLASTIN TIME ,[object Object],[object Object],[object Object],NORMAL VALUE 25-40 SECS www.freelivedoctor.com

THROMBIN TIME ,[object Object],[object Object],[object Object],NORMAL VALUE 9-13 SECS www.freelivedoctor.com

So What Causes Bleeding Disorders? ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

VESSEL DEFECTS ,[object Object],[object Object],[object Object],www.freelivedoctor.com

PLATELET DISORDERS ,[object Object],[object Object],www.freelivedoctor.com

THROMBOCYTOPENIA INADEQUATE NUMBER OF PLATELETS www.freelivedoctor.com

THROMBOCYTOPATHY ADEQUATE NUMBER BUT ABNORMAL FUNCTION www.freelivedoctor.com

THROMBOCYTOPENIA ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

THROMBOCYTOPENIA ,[object Object],.Alcohol .Thiazide Diuretics www.freelivedoctor.com

THROMBOCYTOPENIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

THROMBOCYTOPENIA ,[object Object],[object Object],[object Object],www.freelivedoctor.com

THROMBOCYTOPATHY ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

THROMBOCYTOPATHY ,[object Object],ASPIRIN IRREVERSIBLY BINDS TO THE PLATELET FOR ITS ENTIRE LIFESPAN (7-10 DAYS) www.freelivedoctor.com

[object Object],THROMBOCYTOPATHY NSAIDS REVERSIBLY BINDS TO THE PLATELET FOR A LIMITED TIME PERIOD (APPROX 6 HOURS) www.freelivedoctor.com

FACTOR DEFICIENCIES (CONGENITAL) ,[object Object],[object Object],[object Object],www.freelivedoctor.com

FACTOR DEFICIENCIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

FACTOR DEFICIENCIES ,[object Object],[object Object],[object Object],www.freelivedoctor.com

OTHER DISORDERS (ACQUIRED) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

OTHER DISORDERS ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

OTHER DISORDERS ,[object Object],[object Object],[object Object],www.freelivedoctor.com

DENTAL EVALUATION ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

GOOD THOROUGH HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

REVIEW PATIENT’S MEDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

ORAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

DENTAL PATIENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

DENTAL PATIENTS ,[object Object],[object Object],[object Object],www.freelivedoctor.com

DENTAL MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Bleeding disorders

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