Bleeding Diathesis

(Bleeding Tendency)

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Bleeding tendency may present w..

- Umbilical cord seperation

- Immunisations

- Oral trauma

- Circumcisions

- Brushing teeth

- Epistaxis

- Haemoptysis

- Menorrhagia

- Post op bleeds

 

Platelets vs Clotting factors

 

 

Platelet

Clotting Factor

Site

Skin, mucosa

Deep, soft tissue

Cut/Scratch

+

-

Petechiae

+

-

Echymosis

Small, superficial

Large, deep

Joint/M. Bleed

Rare

Common

Post-Op

Immediate, mild

1-2/7, +/- severe

 

Causes

-  Liver disease: factors II, VII, IX, X

-  Heamophillia: A (VIII), B (IX)

-  von Willibrands Disease (vWBD)

-  Thrombocytopaenia or platelet dysfunction

-  Anticoagulants

-  Malnutrition: vit K deficiency

-  Marfans Syndrome

-  Allergies: meds, foods, Henoch-Schonlein purpura

-  Infections: Ebola, Rocky Mountain Spotted Fever, Lymes Disease

-  Atrophic: senile purpura, Amyloid, scurvy, Cushings syndrome

-  DIC

 

Complications

- Anaemia

- Haemarthrosis

- Haemorrhage

 

Ix

- Haem Exam

- FBE: Anaemia, thrombocytopaenia

- Blood Film

- LFTs

- Clotting Factor Assays: Haemophillia

- Rosetin: vWBD

- Coagulation Screen: INR, APTT