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Updated: Jan 18 2019

Coagulation Cascade

  • Overview
  • Tests
    • PT (extrinsic pathway)
      • tests function of factors
        • I
        • II
        • V
        • VII
        • X
      • defect in any of these → ↑ PT
      • best test to follow warfarin therapy
        • normalized as an INR (international normalized ratio)
        • note also increases PTT time
      • also used to measure hepatic function as most of the factor are synthesized in the liver
    • PTT (intrinsic pathway)
      • tests function of all factors EXCEPT
        • VII
        • XIII
      • defect in any of these→ ↑ PTT
        • XII also leads to defect in bradykinin activation
      • best test to follow heparin therapy
        • note also increases PT time
  • Clinical Importance
    • Hemophilia A/B
    • Protein C/S deficiency
    • Factor V Leiden
    • Vitamin K deficiency
    • Antithrombin
      • activated by heparin
      • deficiency
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