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BV Injury
Platelet
Activation
Plt-Fusion
Blood Vessel
Constriction
Coagulation
Activation
Stable Hemostatic Plug
Thromibn,
Fibrin
Reduced
Blood flow
Tissue
Factor
Primary hemostatic plug
Neural
Fibrinogen
Fibrin Mononer
Fibrin Polymer
Cross Linked
Fibrin
Thrombin
F-XIIIa
 Realease of tissue factor
 Widespread endothelial injury
Activation of
coagulation
cascade
Widespread
micro
thrombi
Consumption
coagulopathy
Activation of
fibrinolysis
Bleeding
 Brain>heart>lungs>kidney>adrenals>spleen
 Disseminated > localised
 Endocrine
adrenals
pituitary
 Platelet count ?
 Coagulation factors ?
 Fibrinogen level ?
 PTT ?
 PT ?
 Thrombin time ?
 Fibrin degradation products ?
 Plasmin ?
 Microangipathic HA picture
BT Plt PT PTT
Vascular Dis -  - - -
PLT Disorder -  -  - -
Factor 8/9
*Congenital - - - 
Vit K / Liver
*Acquired - -  -
Combined (DIC)   - 
Disseminated intravascular coagulation

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Disseminated intravascular coagulation