Beruflich Dokumente
Kultur Dokumente
Labs?
- CBC
- Peripheral smear
- PT PTT (determine if there is a
coagulopathy)
- D-Dimer normal in
thrombocytopenia/high in DIC
- LDH: normal in ITP; high in hemolytic
anemia
Hgb 13.1
Htc 39
RBC 4.7
MCV 86
Plt 30 (very very low- isolated
thrombocytopenia = ITP)
Peripheral smear small plt
PT 11.6
PTT 32 s
Case 4
Labs?
Dx
Tx
Notes on DIC
- DIC is usually due to infection and sepsis from
any etiology in most hospitalized pt
- Obstetrical catastrophes like abruptio placenta,
placental previa and retained dead fetus can
also cause
- Disseminated cancer mucin producing
adenocarcinomas from stomach and pancreas
- Other conditions include vasculitis, acquired
protein C deficiency, crush injuries, brain
injuries, urologic tissue injury, fresh water
drowning, heat stroke dissecting aortic
aneurysm
- In general, DIC is associated with tissue injury
and destruction from any etiology
- Heparin usage at a quarter of the standard full
anticoagulation dose has limited usefulness in
DIC. It is controversial but occasionally it has
merit