EPISODE · Nov 13, 2019 · 47 MIN
#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment
from Core IM | Internal Medicine Podcast · host Core IM Team
Get CME Credit with ACP! Full Transcript with references and show notes Time Stamps4:30 What is the daily risk of thrombosis if HIT Is left untreated?5:40 What happens during platelet activation?07:11 How long does it take for patients to develop for IgG antibodies to Heparin to form?09:52 Is HIT common?10:28 Who is at higher risk for HIT?11:48 Why does low molecular weight heparin have a lower risk for HIT than unfractionated heparin?15:30 Approach to thrombocytopenia17:44 How do medications cause thrombocytopenia?18:38 With medications, what is the time course between medication initiation and thrombocytopenia?22:20 What is the sensitivity and specificity of anti-PF4 antibody?23:58 How does the serotonin-release assay (SRA) work?29:10 What type of anticoagulant do you choose for treating HIT?31:58 Why is it important to not use warfarin in patients with platelet counts <150,000?33:32 What is the treatment duration for a patient has confirmed HIT?36:29 Dr. Cuker’s story and the "Scarlet H"39:07 Dr. Linkin’s Recap42:25 Dr. Linkin’s story44:37 Pearl 5: Throwback to coronary calcium scores Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
What this episode covers
Get CME Credit (https://www.acponline.org/cme-moc/online-learning-center/heparin-induced-thrombocytopenia-5-pearls-segment) with ACP! Full Transcript with references and show notes (https://www.coreimpodcast.com/2019/11/13/5-pearls-on-heparin-induced-thrombocytopenia/) Time Stamps 4:30 What is the daily risk of thrombosis if HIT Is left untreated? 5:40 What happens during platelet activation? 07:11 How long does it take for patients to develop for IgG antibodies to Heparin to form? 09:52 Is HIT common? 10:28 Who is at higher risk for HIT? 11:48 Why does low molecular weight heparin have a lower risk for HIT than unfractionated heparin? 15:30 Approach to thrombocytopenia 17:44 How do medications cause thrombocytopenia? 18:38 With medications, what is the time course between medication initiation and thrombocytopenia? 22:20 What is the sensitivity and specificity of anti-PF4 antibody? 23:58 How does the serotonin-release assay (SRA) work? 29:10 What type of anticoagulant do you choose for treating HIT? 31:58 Why is it important to not use warfarin in patients with platelet counts Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy
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#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment
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