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12 Cards in this Set
- Front
- Back
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What does mucosal bleeding indicate?
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Typical of primary disorders of hemostasis
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If a patient presents with bleeding into muscles and joints, what is the most likely bleeding abnormality?
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Hemophilia or other very rare disorders
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What are some factors that would raise suspicion of a potential bleeding disorder?
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1. Excessive bleeding after dental surgery, post-op or post-partum.
2. Increased frequency and severity of epistaxis. 3. Long hx of menorrhagia 4. Requirements for blood transfusion. 5. Age at first bleeding symptoms 6. Family members affected, sex linked. |
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What are the 4 main areas that must be covered in the patient's history?
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1. Details about the current bleeding episode.
2. Past medical hx 3. Medications 4. Family medical hx |
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Which medical conditions are causes of abnormal bleeding?
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Renal and liver dysfunction.
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What are signs of liver failure?
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1. jaundice
2. hepatosplenomegaly 3. ascites 4. palmar erythema 5. spider nevi |
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Why does liver failure cause abnormal bleeding?
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Reduced production of coagulation factors.
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What are signs of renal failure?
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1. congestive heart failure
2. neurological changes |
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What is the cause of a bleeding abnormality in chronic kidney disease?
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Metabolic changes in kidney failure cause platelets to function abnormally, which can lead to bleeding.
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What is the importance of medications with respect to bleeding?
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NSAIDs and ASA can contribute to excessive bleeding because they impair platelet function.
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What should the physical exam focus on?
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1. Evidence of recent (abnormal) bleeding.
2. Evidence of a disease with secondary bleeding complications. |
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Which sites would you inspect for signs of bleeding?
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Skin (bruises), mouth (mucosal bleeding), rectum, joints
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