Liver Disease - 2
Procoagulant dysfunction:
Fibrinogen – factor I:
Mechanisms for hemorrhagic episodes:
An acute phase protein
Elevated levels in early-mild liver disease
Structurally abnormal facto I produced which is nonfunctional “dyfibrinogenemia”
Thrombin Time (TT)
Reptilase test
Coagulation tests that will be prolonged:
Thrombocytopenia is common (<100 x 109/L)
Platelet abnormalities:
Cause:
Shortened half-life, increased sequestration, alcohol suppresses bm, secretion & aggregation abnormal