Core EM Profile picture
Jun 17 7 tweets 3 min read Twitter logo Read on Twitter
Let’s take a minute to recap our latest blog post on a pretty daunting hematological emergency🩸

A thread 🧵 1/7 #MedEd #MedTwitter Image
An imbalance between ADAMTS-13 and von-willebrand factor can lead to catastrophic physiological damage 💔

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The classic FATRN presentation actually only occurs in less than 7% of cases 😳

Instead, look for:
🧠 CNS symptoms - 60% of cases
🤮 GI symptoms - 35% of cases
🫀 Cardiac symptoms - 25% of cases

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Send an ADAMTS-13 Activity but most labs won't have it resulted for a few days so here are other lab findings to search for in the ED 🧪

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Since we can't rely on confirmatory testing in the ED, use the PLASMIC score to risk stratify patients and help guide management 🧠

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Get your juniors ready to place a dialysis catheter since the most effective treatment for TTP will require one 💉

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Head over to our website for references and a more comprehensive dive into TTP

Link: coreem.net/core/thromboti…

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