Ecchymosis: Hematomas and Bruises
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Questions and Answers

What is the typical area size of an ecchymosis?

  • Less than 1 cm
  • More than 5 cm
  • 2-5 cm
  • 1-2 cm (correct)

What happens to the erythrocytes in ecchymosis?

  • They are released back into the bloodstream
  • They are converted to bilirubin
  • They are destroyed by immune cells
  • They are phagocytosed and degraded (correct)

What is the color of hemoglobin in ecchymosis?

  • Blue-green
  • Yellow
  • Golden-brown
  • Red-blue (correct)

What is the final product of bilirubin conversion in ecchymosis?

<p>Hemosiderin (D)</p> Signup and view all the answers

What is the color of hemosiderin?

<p>Golden-brown (D)</p> Signup and view all the answers

What type of cells are responsible for producing coagulation type materials?

<p>Endothelial cells (D)</p> Signup and view all the answers

What is the function of anticoagulation mechanism in blood vessels?

<p>To prevent blood clotting (A)</p> Signup and view all the answers

What is the role of collagen in blood vessels?

<p>To provide structural support (B)</p> Signup and view all the answers

What is the result of injury to blood vessels?

<p>Activation of blood clotting (D)</p> Signup and view all the answers

What is the function of endothelial cells in their normal state?

<p>To prevent blood clotting (A)</p> Signup and view all the answers

What is the role of ECM in blood vessels?

<p>To provide structural support (A)</p> Signup and view all the answers

What is the result of plasmin breaking down fibrin?

<p>Production of fibrin split products (B)</p> Signup and view all the answers

What is a risk factor for atrial fibrillation?

<p>Protein C and S deficiency (B)</p> Signup and view all the answers

What is the role of alpha 2 antiplasmin in the body?

<p>To control the action of plasmin (B)</p> Signup and view all the answers

Which of the following is a primary cause of hypercoagulability?

<p>Factor V mutations (D)</p> Signup and view all the answers

What is the effect of free plasmin on fibrin?

<p>It breaks down the fibrin clot (D)</p> Signup and view all the answers

Why is it necessary to control the action of plasmin?

<p>To prevent excessive bleeding (D)</p> Signup and view all the answers

What is a secondary cause of hypercoagulability?

<p>Immobility (A)</p> Signup and view all the answers

What is the relationship between plasmin and alpha 2 antiplasmin?

<p>Alpha 2 antiplasmin inactivates free plasmin (A)</p> Signup and view all the answers

What is the result of a combination of high risk factors and hypercoagulability?

<p>Increased risk of thrombosis (C)</p> Signup and view all the answers

What is the role of protein C and S in the body?

<p>To prevent thrombosis (A)</p> Signup and view all the answers

What is the result of Antithrombin III deficiency?

<p>Increased thrombosis risk (C)</p> Signup and view all the answers

What is the common result of pooling of blood in veins?

<p>Blood clot formation (C)</p> Signup and view all the answers

What can cause injury to vessels and lead to thrombosis?

<p>Surgery, trauma, or burns (C)</p> Signup and view all the answers

What can increase the incidence of thrombosis?

<p>Hypercoagulable conditions (D)</p> Signup and view all the answers

What can reduce the risk of deep venous thrombosis?

<p>Regular exercise and movement (B)</p> Signup and view all the answers

What is a common risk factor for deep venous thrombosis?

<p>Immobilization after surgery (C)</p> Signup and view all the answers

Study Notes

Ecchymosis and Hematomas

  • Ecchymosis are subcutaneous hematomas or bruises that are 1-2 cm in area
  • Erythrocytes in these hemorrhages are phagocytosed and degraded
  • Hemoglobin is converted to bilirubin, which is blue-green in color, and eventually to hemosiderin, a golden-brown colored material

Blood Vessels and Coagulation

  • Endothelial cells produce a variety of materials, including coagulation factors, inhibitors of blood coagulation, and vasodilation factors
  • Collagen and ECM play a role in coagulation
  • Antithrombin and fibrinolysis are involved in anticoagulation mechanisms
  • Endothelial cells have anti-thrombotic, anti-aggregation, and anti-coagulation effects

Fibrinolysis and Plasmin

  • Plasmin breaks down fibrin, producing fibrin split products
  • Free plasmin is inactivated by alpha 2 antiplasmin to control its action

Hypercoagulability

  • Primary causes of hypercoagulability include Factor V mutations, prothrombin mutations, Antithrombin III deficiency, and protein C and S deficiency
  • Secondary causes are considered high-risk, including individuals who are immobile or have a history of blood clots
  • Hypercoagulable conditions increase the incidence of thrombosis in situations that cause blood stasis, such as long flights or immobilization after surgery
  • Surgery, trauma, or burns may cause thrombosis due to injury to vessels, release of procoagulants, and reduced t-PA activity

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Description

Learn about ecchymosis, a type of subcutaneous hematoma or bruise, and its characteristics, including the breakdown of hemoglobin and the formation of bilirubin and hemosiderin.

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