Hemophilia Flashcards

1
Q

Hemophilia

A

A bleeding disorder where a person’s blood does not clot normally leading to delays in coagulation
Leads to excessive blood loos

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2
Q

Clinical manifestation

A

Hematoma and bruising formation from minor contacts
Delayed hemorrage afte minor injury
Persistent bleeding after cuts
Hemarthrosis (bleeding in jts)
Episodes of spontaneous bleeding into jts, muscles, and internal organs

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3
Q

Hemarthrosis

A

Bleeding into joint space (typically in a synovial jt)
Causes swelling, pain, warmth and stiffness
Blood is an irritant to the synovium, causing inflammation

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4
Q

Intramuscular hemorrhage

A

Bleeding into muscle
Pan swelling, limiting ROM, protective spasm, warmth etc

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5
Q

Medical management

A

Factor replacement therapy
Pain medication
Corticosteriods to treat chronic Synovitis

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6
Q

Rehabilitation management of active bleed

A

Acute stage (RICE, non or minimal weight bearing device, splinting)
Subacute stage (Progressive weight bearing, mvmt and exercise)
Muscle (RICE, progressive mvmt, appropriate weight bearing status)

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7
Q

Rehab management post bleed

A

Education (benefits of exercise, injury risk protection strategies)
Isometric muscle exercises
Slowly progressing strength t exercsies (when pain free)
Slow progressive return to weight-bearing activities
Proprioception exercises

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8
Q

Rehab considerations/ contraindications

A

Use of heat is contraindicated
Joint manipulation
Contact sports
High falls risks activities
Heavy weight (very heavy) not recommended

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