Disturbed Blood Flow and Thrombosis
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Questions and Answers

What is the initiating mechanism for deep vein thrombosis according to the text?

  • Formation of arterial platelet plug with vWF
  • Formation of atherosclerotic plaque in the vessel walls (correct)
  • Rupture of small unstable plaques
  • Blockage of the main artery of the lung
  • Which of the following clinical symptoms is associated with deep vein thrombosis?

  • Redness and swelling
  • Initiation of arterial platelet plug
  • Sensation of heat
  • Localized pain (correct)
  • What is a common consequence of pulmonary embolism?

  • Rupture of unstable plaques
  • Formation of atherosclerotic plaque
  • Blockage of lung arteries (correct)
  • Formation of arterial platelet plug
  • What are the main mechanisms most often implicated in venous thrombosis according to the text?

    <p>Inappropriate activation</p> Signup and view all the answers

    Which genetic disorder is characterized by recurrent family history, abnormal site occurrence, and young adult onset?

    <p>Antithrombin deficiency</p> Signup and view all the answers

    What do Anti-Phospholipid Antibodies (APLs) target in the body?

    <p>Beta 2 glycoprotein 1</p> Signup and view all the answers

    What is the most common type of venous thrombosis mentioned in the text?

    <p>Deep vein thrombosis</p> Signup and view all the answers

    What disease is characterized by hepatic vein thrombosis and blockage of the inferior vena cava?

    <p>Budd-Chiari syndrome</p> Signup and view all the answers

    What type of thrombosis involves the formation of a blood clot within an artery?

    <p>Arterial Thrombosis</p> Signup and view all the answers

    Which condition results in blockage of blood flow to the kidney?

    <p>Renal vein thrombosis</p> Signup and view all the answers

    What type of condition is characterized by blockage in the diural venous sinuses, leading to a type of venous stroke?

    <p>Cerebral venous sinus thrombosis</p> Signup and view all the answers

    What is the common cause of arterial thrombosis as described in the text?

    <p>Atheroma rupture</p> Signup and view all the answers

    What is the main cause of thrombosis according to the text?

    <p>Endothelial cell injury</p> Signup and view all the answers

    Which of the following is a common risk factor for Hypercoagulability?

    <p>Infection</p> Signup and view all the answers

    What is the definition of thrombophilia?

    <p>Predisposition to thrombosis due to disorders</p> Signup and view all the answers

    Which blood cells have been identified as playing a pivotal role in Deep Venous Thrombosis according to recent studies?

    <p>Neutrophils</p> Signup and view all the answers

    What is the role of tissue factor in the blood coagulation system according to the text?

    <p>Activates the coagulation cascade</p> Signup and view all the answers

    Which of the following is NOT a potential cause of injury to the vessel's wall that leads to thrombosis?

    <p>Stasis of blood flow</p> Signup and view all the answers

    Study Notes

    Introduction to Thrombosis

    • Thrombosis is a disorder that occurs due to abnormalities in the coagulation system, platelets, and WBC.
    • It can be caused by genetic deficiencies or autoimmune disorders.

    Causes of Thrombosis

    • Hypercoagulability (abnormal blood composition)
    • Endothelial cell injury (damage to the vessel wall)
    • Abnormal blood flow (stasis or turbulence)

    Thrombophilia

    • Predisposition to thrombosis due to a congenital or acquired disorder
    • Cancer can be a contributing factor

    Endothelial Cell Injury

    • Causes of injury include trauma, surgery, infection, or turbulent flow at bifurcations
    • Exposure of tissue factor to the blood coagulation system

    Deep Vein Thrombosis

    • Clinical symptoms: sensation of heat, localized pain, redness, swelling
    • Initiating mechanism: atherosclerotic plaque formation in the vessel walls
    • Small unstable plaques rupture, leading to pulmonary embolism

    Thrombosis Risk Factors

    • Coagulation system imbalances
    • Inappropriate activation, gain of function, or inadequate control
    • Acquired risk factors: anti-phospholipid syndrome, myeloproliferative disorders
    • Non-disease risk factors: lifestyle
    • Association with systemic diseases: chronic inflammatory diseases, nephrotic syndrome

    Thrombosis Evaluation

    • Factors that affect evaluation: anticoagulant therapy, recent thrombotic events
    • Testing for AT, PS, PC, Factor VIII, and LA must be performed 10-14 days after therapy

    Anti-Phospholipid Antibodies (APLs)

    • Family of antibodies that bind protein-phospholipid complexes
    • Include: lupus anticoagulant, anticardiolipin, anti-β2GPI
    • Clinical consequences: transient ischemic attacks, strokes, coronary and peripheral artery diseases, venous thromboembolism, repeated pregnancy complications

    Congenital Thrombosis Risk Factors

    • Clinical features: occurs in young adults, occurs in unusual sites, recurrent, family history
    • Inherited disorders: antithrombin deficiency, protein C deficiency, protein S deficiency, APC resistance, prothrombin G20210A mutation, fibrinogen

    Types of Thrombosis

    • Venous Thrombosis: formation of a thrombus within a vein
    • Arterial Thrombosis: formation of a thrombus within an artery, leading to ischemia and tissue death

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    Description

    Learn about the causes of disturbed blood flow, including venous stasis, and the two types of thrombosis: venous thrombosis and deep vein thrombosis. Understand how these conditions can occur and their implications.

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