coagulation DIC


ISTH score

  • can sometimes be helpful

Treatment

  • best treatment: is treating underlying disorder

Stages of DIC

  • Stage 0: pre DIC
    • not clinically evident
    • coagulation cascade revved up
      • fibinogen increase as result of acute phase reactant
      • platelets increase
      • antithrombin III sufficient
    • similar to pre DM
    • immunothrombosis
    • pro inflammatory state
  • Stage 1 DIC: thrombogenic state
    • inflammatory cascade starting to cause problems that are visible
    • overproduction of thrombin => clot formation
    • antithrombin III
    • activation of factor V and VIII
    • activation of platelets