TUT - Bleeding disorders Flashcards
1
Q
Why is caries more a concern in haemophilia patients?
A
- treatment that can cause bleeding is more risky
- prevention is key to avoid invasive treatment
2
Q
How would you manage a haemophilia patient who presented to you with an avulsed tooth?
A
- replant tooth under normal guidance
- phone haemotology (may suggest transexamic acid)
3
Q
Why is IDB contraindicated with patients with haemophilia?
A
- IDB has higher risk of damage to vessels
- local bleed from IDB is not visible and may persist
4
Q
What is the sign of a local bleed from IDB in haemophiliac patients?
A
Trismus
5
Q
What are the pre-op instructions for XLA in a haemophiliac patient?
A
- clean mouth
- transexamic acid 1g TID the day prior to XLA and for 6 days after
6
Q
What are the peri-op instructions for XLA in an haemophiliac patient?
A
- chlorhexidine mouth wash for 2 mins prior to LA
- atraumatic XLA technique
- suture socket with surgicel
+/- vacuum splint
+/- other haemostatic agents
7
Q
What are the POI for XLA in a haemophiliac patient?
A
- same as normal
- patient should be monitored for 30-60 mins post op to ensure no re-bleed
8
Q
What demographic is more likely to have haemophilia?
A
Men as it is a x-linked recessive condition
