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Hemostasis
Process that stops bleeding at the site of an injury
Fibrin
An insoluble protein that forms a fibrous mesh to impede blood flow
Hageman Factor (XII)
Initiates the intrinsic pathway when activated by contact with negatively charged molecules
Tissue factor (III)
A protein present in tissue cells that initiates the extrinsic pathway of blood coagulation
Factor X
Clotting factor that activates the common pathway and is part of both the intrinsic and extrinsic pathways
Prothrombin
A plasma protein that is converted into active thrombin during coagulation
Fibrinogen
A soluble plasma protein that is converted to insoluble fibrin during clotting
Plasmin
An enzyme that dissolves the fibrin of blood clots
Intrinsic pathway
The clotting pathway that begins with trauma inside the vascular system, and is activated by platelets, with no external trauma
Extrinsic pathway
The clotting pathway that begins with trauma to the blood vessel or surrounding tissues, initiating the release of tissue factor (Factor III)
Prothrombinase complex/prothrombin activator
Factor X combines with Factor V and calcium to form the enzyme that converts prothombin to thrombin
Thrombin
An enzyme that converts fibrinogen to fibrin during blood clotting
Platelet derived growth factor (PDGF)
Stimulates proliferation of smooth muscle cells and fibroblasts to rebuild blood vessel wall
Heparin
Short-acting anticoagulant that opposes prothrombin
Tissue factor pathway inhibitor (TFPI)
Inhibits activation of Factor VII in extrinsic pathway
Bradykinin
Vasodilator released to relax and restore blood flow in the circulation
Antithrombin
Inactivates Factor X
Plasminogen activator (tPA)
Converts plasminogen to plasmin
Protein C system
Inactivates clotting factors involved in the intrinsic pathway
Vascular endothelial growth factor (VEGF)
Stimulates proliferation of endothelial cells for regeneration of endothelial lining
Von Willebrand factor
Plasma protein that helps platelets bind to exposed collagen and endothelial lining
ADP
Helps additional platelets adhere to the injury site, reinforcing and expanding the platelet plug
Serotonin
Maintains vasoconstriction and enhances platelet aggregation