Bleeding disorders - Hx + Ex

Question 1

History;

? of the bleed

• –?/ ? bleeds: coagulation issue.
• —?, ?, ? or ? haemorrhage: platelet issue/vWd.
• —Recurrent bleeds at one site: ? ?abnormality.

Answer 1

site
muscle/joint
epistaxis, menorrhagia, purpura, GI
local endothelial

Question 2

? of the history, any ? history
—–Congenital vs. Acquired.
Seriousness?
——? bleeds indicate a more serious issue than post-? bleeds

Answer 2

duration
family
spontaneous
traumatic

Question 3

Surgical History

• –Bleeding that starts immediately after is suggestive of a ? issue.
• –Bleeding that starts after several hours suggests a ? issue

Answer 3

platelet

coagulation

Question 4

PMH (? Illnesses)
—? / ? failure.

Drug History
—? , ?/?s.

Answer 4

systemic
renal/liver
anticoag
nsaids/steroids

Question 5

Examination;

Skin: any ?, ? or telangiectasia?
Joints: any evidence of ?
Abdomen: ?, evidence of ? dysfunction

Answer 5

purpura
bruising
haemarthrosis
splenomegaly
hepatic