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Pathology
Activation of the haemostatic system within the intravascular system resulting in widespread deposition of fibrin, activation of platelets and consumption of coagulation factors
Aetiology
Tissue Damage, Burns, Malignancy, Complications Of Pregnancy, Infection,
Immunological Reactions, Toxins, Liver Disease
Signs
Bruising, bleeding which is difficult to control
Symptoms
Excessive Bleedingng
Investigations
Bloods: Clotting screen shows prolonged PT, APPT, thrombin time and
decreased fibrinogen, raised D-Dimer.
Blood Film: Red blood cell fragmentation
Treatment
Medical: Treat underlying cause, Transfusion of platelets, fresh frozen plasma,
cryoprecipitate and red blood cells
Prognosis
Mortality greater than 80% in severe cases
Renal failure, major haemorrhage
Key Facts
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Key Images
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Key References
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