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Physiology - First Year BHMS

Contents

Physiology - First Year BHMS

Contents

CoursesBHMSPhysiology - First Year BHMSCoagulation & Haemostasis

Coagulation & Haemostasis

Content

Coagulation & Haemostasis

Describe the process of coagulation

  1. It involves a series of steps that lead to the formation of a blood clot
  2. The process starts with the injury of a blood vessel
  3. The injury causes the release of tissue factor from the damaged tissue
  4. Tissue factor reacts with factor VII to form an activated factor VII-tissue factor complex
  5. This complex then activates factor X, which in turn activates prothrombin to form thrombin
  6. Thrombin converts fibrinogen into fibrin, which forms the clot
  7. The clot is then stabilized by the formation of cross-links between the fibrin molecules

Discuss the mechanism of haemostasis

  1. Haemostasis is the process of stopping bleeding from a damaged blood vessel
  2. It involves three main steps: vascular spasm, platelet plug formation, and coagulation
  3. Vascular spasm occurs when the blood vessel constricts to reduce blood flow to the damaged area
  4. Platelet plug formation occurs when platelets adhere to the damaged area and form a plug
  5. Coagulation occurs when the coagulation cascade is activated, leading to the formation of a blood clot
  6. The clot is then dissolved by the fibrinolytic system, which breaks down the clot into smaller fragments

Explain the stages of clotting mechanism

  1. Stage 1: Formation of prothrombinase
    • Factor X is activated to form activated factor X
    • Activated factor X reacts with factor V to form prothrombinase
  2. Stage 2: Conversion of prothrombin to thrombin
    • Prothrombinase reacts with prothrombin to form thrombin
  3. Stage 3: Conversion of fibrinogen to fibrin
    • Thrombin reacts with fibrinogen to form fibrin
  4. Stage 4: Formation of cross-links
    • Fibrin molecules are cross-linked to form a stable clot

Discuss hemorrhagic disorders

  1. Hemorrhagic disorders are conditions that affect the blood's ability to clot
  2. Examples of hemorrhagic disorders include hemophilia A and B, and von Willebrand disease
  3. Hemophilia A is caused by a deficiency of factor VIII
  4. Hemophilia B is caused by a deficiency of factor IX
  5. Von Willebrand disease is caused by a deficiency of von Willebrand factor
  6. These disorders can be treated with replacement therapy, where the missing clotting factor is replaced with a donor-derived or recombinant version of the factor