Laboratory Manual in CEnical Hematology 2 (MTPC 118)
REPORT SHEET
Activity No. 5
CLOT RETRACTION TIME
Name: Jabes. Sy Leen B. Rating:
- Date Performed: March 9, 2ozt Date Submitted: March (2, 2021 __
4 RESULTS:
Name of Patient: Jouilyy Yabes
Age/Gender: _26 / female
: Clot Retraction Result: Normal
Interpretation: Complete _ Retrachon
_ Illustrate the final set-up.
Result after 2 hours Result after 24 hoursLaboratory Manual in Cinial Hematology 2 (TPC 118)
REVIEW QUESTIONS:
1. Give the clinical signifi :
relokth ae nosing hemor Spas time test and observation
inical signticance of clot petty ji it
ction time test indicates tha
Poet Pas Tirombastheria. and/or Berard ovlee Syxdtone,uhlen
tere is a high value for the Clot Reachon Time. In addtion, Clot refraction
time that is prol 5
r longed may indicale bleeding disorders like Hemophilia, Yon
Uillebrand disease, and deficiency in vomin K. Reduced clot redraction time
may be caused by Disseminated Inrowasoulor Coagulation (010), hypofiloring-
geremnia, and dysfibrinagenemia. In Giggnosing temonhagio disorders, the clot
ae oe adhere on the sides of pecimen tube which makes the clot
Na, K-CHay 13, 2019). Clot Reaction Blood Test March 9 202)
2 ae boepesare ve cn enon reece roche laoreet erect
Platelets induce clot retraction by releasing multiple Coagulation
foclors therein the octiated platelets incorporaled in the clot rearrange
Ond contract their infracelilar actin myosin ene The. intracellular actin
network is comected to the intemal part of fhe inlegrin allbA3 fibrinogen
receptor. following coagulation, the, exlernal part of allb83 wil have. bound fo
the fibrin network, the formed clot vill compact on itself and hence reduce,
its volume. Lastly, the relracton is driven by the interaction between the
Fibrin cuside the celle and the actin-mosin skeleton of te, platelets, which is
mediated by ailbB3. clot Relroction.(n.d) ikon March 9, 202) from platelets.se/clo}-rerackay,
3. Briefly discuss fibrinolysis. oe
Fibrinolysis is the breakdown of fibrin within blead clots. There are tuo
‘ypes of fibrinolysis, being primary and secondary fibrinolysis. Frmary fibnnolysis
Coens naturally ond secondary fibninclysis occurs due to an external cause
Such as medicine or a medical disorder
Fibrinolysis ic fighlly controlled by the actions of various cofe
inhibitors, cane ssmin is the main protein thal activates fo
Pasmia is comerted from Plasminogen by tissve plasminggen aasiolor Ciba)
Ord urokinase (up A). tPA is syheseed ty endothelial cells whereas uPA is
Syttesized ky monocytes, macrophages and urinary epithelium cells. yPA
Jower affinity fo Plasminogen thon PA, also uPA does not require fibrin. ars
@ cofactor to iiniiale plasmin formotion. Plasimin activates {pA ond uPA
creating a positive Redback leop where the activation of plasminogen
leads fo more, adlvation of plasminagen. This positive Redback loop ig
Crucial as clearing blood clots that have, oie! their purpose, ig ex
important. Hokenzie, 6. Cad) brat ie Fibrinclcis? Rebeed Horch 4 202) Foy tne
————_itwans-nedical.ne/ heath shat is~ brinolyére. O