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Disseminated Intravascular Coagulation, Pediatric

Char M. Witmer, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Disseminated intravascular coagulation (DIC) is an acquired syndrome that is always secondary to an underlying etiology.

  • It is a systemic life-threatening process characterized by an ...

DIAGNOSIS

HISTORY

  • Presence of one of the underlying conditions (see “Etiology”)

  • Abrupt onset of bleeding

  • Prolonged bleeding from venipuncture sites

  • Bleeding from multiple sites, especially venipunctures, ...

TREATMENT

GENERAL MEASURES

  • The most important therapy for DIC is to treat the underlying disorder.

  • Supportive therapy may be required to treat symptomatic coagulation abnormalities.

  • Hemostatic therapy sh...

ONGOING CARE

PROGNOSIS

  • Poor unless underlying disease is treated

  • The intensity and duration of DIC depend on the degree of activation of the coagulation system, liver function, blood flow, and ability t...

ADDITIONAL READING

  • Levi M. Disseminated intravascular coagulation. Crit Care Med.  2007;35(9):2191–2195. [View Abstract on OvidInsights]

  • Levi M, Meijers JC. DIC: which laboratory tests are most us...

CODES

ICD9

  • 286.6 Defibrination syndrome

  • 776.2 Disseminated intravascular coagulation in newborn

ICD10

  • D65 Disseminated intravascular coagulation

  • P60 Disseminated intravascular coagulation of newborn

SNOMED

  • 6...

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