Page 196 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 196

Basic laboratory diagnostics                                                                                                                                                                                Basic laboratory diagnostics
       Haemostaseology                                                                                                                                                                                                     Haemostaseology

       Rubrik                                                                                                                         Rubrik
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                                                             Prolonged
                                                          prothrombin time
                                                        (prolonged optimised
                                                            quick test*)
                                                                                                                                                                                 Prolonged thrombin
                                                                                                                                                                                      time*

                                                           Disorder of the
                                                            coagulation
                                                          extrinsic pathway




                                                                                                                                                                    Increased thrombin         Increased thrombin
                                                         Reduced Vitamin K                                                                                            consumption                 degradation
                                                              activity





                                                                              Competitive inhibition                                                             – DIC                      – Iatrogenic
                                  Vitamin K deficiency
                                                                                  of vitamin K                                                                                                (therapy with heparin)




                                                                              – Iatrogenic (therapy
                       Decreased                     Decreased                  with coumarine
                      production                     resorption                 derivatives)
                                                                              – Rodenticide                                           1
                                                                                intoxication


                                                            Reduced synthesis
                                          Reduced fat
                   Hepatic dysfunction                        by intestinal
                                           digestion
                                                                bacteria




                   – Liver fibrosis    – Cholestasis       – Dysbacteriosis
                   – Liver cirrhosis                         (e.g. therapy with
                   – Liver neoplasia                         antibiotics)
                   – Hepatic lipidosis







       *



       *   Shortened prothrombin time is not clinically relevant                                                                      *   Shortened thrombin time nicht is not clinically relevant








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