clotting too Much – “5 Ps HAD CAUSED CLOT
Pregnancy - Increased blood viscosity, fibrinogen and factor VIII.
Post Partum - Hypercoaguable state
Prothrombin 20210 mutation,
Protien S, C, deficient – Inherited
Polycythemia vera - increased viscosity
Paroxysmal Nocturnal Hemoglobinuria
Smoking
HIT Heparin Induced Thrombocytopenia, Hyperhomocyteinemia
Antithrombin III Deficiency
Dysfibrinogenemia
CHF or Congestive Heart Failure
Antiphospholipid Syndrome
Uremia – Chronic Renal Failure
Surgery – Orthopedic is greatest risk
Estrogen
Diabetes
Cholesterol elevation, Cancer - procoagulant effects,
Leiden Factor V mutation – Activated Protein C resistance
Obesity and Cholesterol elevation
Trauma, Travel (immobility) - Stasis of blood flow and release of tissue thromboplastin in trauma
Thyroid disease hyper or hypo
Sepsis