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Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation
CPT4 code
Name of the Procedure:
Fibrin(ogen) Degradation (Split) Products (FDP) (FSP); Paracoagulation
- Common Names: FDP Test, FSP Test
- Technical Terms: Fibrin Degradation Products, Fibrin(ogen) Split Products
Summary
The FDP test measures the breakdown products of fibrin and fibrinogen in your blood to help diagnose and monitor various clotting disorders.
Purpose
- Condition Addressed: This test is primarily used to identify clotting disorders such as disseminated intravascular coagulation (DIC), deep vein thrombosis (DVT), and pulmonary embolism.
- Goals: To detect elevated levels of fibrin degradation products indicating abnormal clot formation and breakdown in the body.
Indications
- Symptoms or Conditions: Suspicion of clotting disorders, unexplained bleeding, formation of abnormal clots, thrombocytopenia.
- Patient Criteria: Anyone exhibiting clinical signs of excess clot breakdown, patients undergoing treatment for DIC, or those who had recent surgery or trauma.
Preparation
- Instructions: Generally, no special preparation like fasting is needed, but follow your healthcare provider’s advice.
- Pre-procedure Tests: No specific tests required aside from a thorough medical history and physical assessment.
Procedure Description
- Blood Sample Collection: A healthcare professional will draw a small amount of blood from your vein, typically from the arm.
- Lab Analysis: The blood sample is sent to a laboratory for analysis where specialized assays detect fibrin degradation products.
- Tools Used: Standard phlebotomy equipment (needle, syringe, blood vials).
Duration
- Time Taken: Blood draw takes about 5-10 minutes; lab analysis can take several hours to a day, depending on the facility.
Setting
- This procedure can be performed in a hospital, outpatient clinic, or diagnostic laboratory.
Personnel
- Involved Professionals: Phlebotomist, Medical Laboratory Technician, Pathologist.
Risks and Complications
- Common Risks: Discomfort or bruising at the blood draw site.
- Rare Risks: Infection, excessive bleeding, fainting.
Benefits
- Expected Benefits: Provides crucial information on clotting function, aids in diagnosing clotting disorders, and helps guide appropriate treatment.
- Realization Time: Results are typically available within a day, aiding in rapid diagnosis and management.
Recovery
- Post-procedure Care: No specific care required post blood draw.
- Recovery Time: Immediate; normal activities can resume directly after the blood draw.
- Follow-up: Based on results, additional tests or treatments may be recommended.
Alternatives
- Other Options: Other clotting factor tests, such as D-dimer tests.
- Pros and Cons: FDP tests are specific for degradation products, while D-dimer tests are a more general indication of clot breakdown.
Patient Experience
- During the procedure: Mild discomfort during blood draw.
- After the procedure: Minor soreness or bruising at the puncture site which typically resolves quickly.
- Pain Management: Usually not necessary, but ice packs can be used if bruising occurs.
This helps provide a comprehensive overview of what the Fibrin(ogen) Degradation Products test entails and what patients can expect from start to finish.