Blood and Bleeding

Question 1

What are some haematological disorders we may come across?

Answer 1

• Anaemia
• Neutropenia
• Leukaemia
• Lymphoma
• Disorders of platelets and coagulation.

Question 2

What are anaemia dental findings?

Answer 2

Angular cheilitis
Recurrent oral ulceration
Candidiasis
Glossitis
Burning mouth syndrome
Mucosal Pallour

Question 3

General signs and symptoms of Leukaemia

Answer 3

• Bleeding
• Infection
• Ulcers
• Gingival swelling
• Lymphadenopathy
• Anaemia

Question 4

What is Lymphona?

Answer 4

• Malignant transformation of B or T lymphocytes
• Hodgkins: often begin in neck
• Non-Hodgkins: painless enlarged cervical nodes, infections, ulceration

Lymphoma- 50% cases present with painless neck node

Question 5

What is Idiopathic thrombocytopenic purpura ?

Answer 5

Idiopathic thrombocytopenic purpura is an immune disorder in which the blood doesn’t clot normally. ITP can cause excessive bruising and bleeding

Question 6

What treatment is given for Idiopathic thrombocytopenic purpura?

Answer 6

•Treatment steroids, immunosupressants, splenectomy,
thrombopoiesis stimulating drugs

Avoid regional blocks
•Avoid aspirin and NSAID (damage platelets)
•Specialist care for dental procedures

Question 7

What must a patient on Warfarin (oral anticoagulant) (blood thinner) be?

Answer 7

Normal INR 1.0
Therapeutic treatment if <4.0
check blood within 24-72 hours
must be stable