Symptoms
Hypercoagulation Symptoms: MI, stroke, limb and organ ischaemia, DVT, PE
Bleeding Complications
Fever, chills, flushing or the skin
Investigations
4Ts: Thrombocytopenia
Thrombosis
Timing of Platelets fall
Thrombocytopenia from other causes
Type I Immune Mediated - platelets normally between 100 and 150. Self limiting. 2 days after heparin administration.
Type II Immune Mediated - Platelet IgG (which cause release of pro-coagulant factors and acute inflammation) complexes removed by splenic macrophages. Thrombocytopaenia >50% in 5-15 days of heparin adminstration.
If someone has had heparin before, this happens quicker.
Fundaparinox induced HIT is rare.
http://calgaryguide.ucalgary.ca/wp-content/uploads/image.php?img=2015/05/Heparin-Induced-Thrombocytopenia.jpg
https://en.wikipedia.org/wiki/Heparin-induced_thrombocytopenia
https://www.bmj.com/content/350/bmj.g7566
DR EMU WHO HELP PEOPLE IN ANY TYPE OF LOTTERY NUMBERS
ReplyDeleteIt is a very hard situation when playing the lottery and never won, or keep winning low fund not up to 100 bucks, i have been a victim of such a tough life, the biggest fund i have ever won was 100 bucks, and i have been playing lottery for almost 12 years now, things suddenly change the moment i came across a secret online, a testimony of a spell caster called dr emu, who help people in any type of lottery numbers, i was not easily convinced, but i decided to give try, now i am a proud lottery winner with the help of dr emu, i won $1,000.0000.00 and i am making this known to every one out there who have been trying all day to win the lottery, believe me this is the only way to win the lottery.
Dr Emu can also help you fix this issues
(1)Ex back.
(2)Herbal cure & Spiritual healing.
(3)You want to be promoted in your office.
(4)Pregnancy spell.
(5)Win a court case.
Contact him on email Emutemple@gmail.com
What’s app +2347012841542
Website Https://emutemple.wordpress.com/
Facebook page Https://web.facebook.com/Emu-Temple-104891335203341