Bleeding (Excessive)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Bleeding occurring spontaneously without injury, or bleeding that does not stop (with direct pressure) is abnormal.

Classification

Abnormal bleeding can be classified into the following groups:

  1. Coagulation factor disorders
  2. Platelet disorders
  3. Vascular disorders

Causes

In alphabetical order. [1] [2]

Diagnosis

History and Symptoms

  • Complete history
    • Family history
    • Minor trauma bleeding
    • Tooth extractions
    • Postsurgical bleeding
    • Medications
    • Menorrhagia

Physical Examination

  • Complete physical examination including rectal exam and joint exam (hemarthrosis)

Laboratory Findings

Other Diagnostic Studies

Treatment

Acute Pharmacotherapies

Contraindicated medications

Active pathological bleeding is considered an absolute contraindication to the use of the following medications:

Surgery and Device Based Therapy

References

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X



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