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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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