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The first step in management is to identify and modify the underlying cause if possible. Replacement therapy using coagulation factor concentrates and platelets should be administered; heparin therapy is considered only if vasoocclusive disease is causing the majority of the patient's morbidity.
Bleeding and bruising are common symptoms in the primary care setting. The patient history can help determine whether the bruising or bleeding is abnormal. The International Society on...
15 Απρ 2008 · Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleed- ing before surgery. A thorough history, including a family history, will guide the appropriate
15 Φεβ 2016 · Easy bruising and abnormal bleeding are common symptoms in the primary care setting that may present as excessive bruising when injured, or as epistaxis, menorrhagia, or prolonged bleeding...
Symptoms such as gum bleeding, epistaxis, menorrhagia, petechiae, and bruising are especially common; in one study they were reported by anywhere from 22% to 85% of men and women without bleeding disorders. 2 Identification of pathologic bleeding may, therefore, prove challenging.
9 Φεβ 2017 · Clinical examination reveals bruising to the arms, legs, and abdomen, and poor oral health. How should I assess the patient? History. Discuss the bruises. Ask questions such as: What exactly does the patient mean by a bruise? Do they have any bruises now or photographs of bruises previously?
Excessive bruising, epistaxis, bleeding after dental extraction, and menorrhagia are symptoms suggestive of quantitative or qualitative platelet disorders.8 Pa-tients with platelet abnormalities may also experience excessive bleeding after hemostatic challenges.15 The presence of petechiae in particular suggests a platelet defect.
