Medium urgency
-Moderately severe
A clinical condition in which there is an abnormal predisposition to bleeding as a result of alterations in the blood coagulation process.
Hereditary and other acquired causes have been described: hemophilia, low platelets, drugs, severe infection, liver disease.
It manifests with spontaneous bleeding or uncontrollable bleeding through wounds. Frequently there will be bruising of the skin, bleeding from the nose or gums, bleeding during urination, etc.
Diagnosis is made by clinical history, physical examination and blood tests.
Treatment consists of correcting the triggers and controlling the bleeding points.
- Reed E Drews. Approach to the adult patient with a bleeding diathesis. UpToDate, Julio, 2015.
- Tosetto A. Prospective evaluation of the clinical utility of quantitative bleeding severity assessment in patients referred for hemostatic evaluation. J Thromb Haemost 2011; 9:1143.
- Kouides PA. Multisite management study of menorrhagia with abnormal laboratory haemostasis: a prospective crossover study of intranasal desmopressin and oral tranexamic acid. Br J Haematol 2009; 145:212.
- J. C. Reverter. Enfermedades de la hemostasia. Farreras Rozman. Medicina Interna, ed 18. Capítulo 210
- Barbara A. Konkle. Hemorragia y trombosis. Harrison. Principios de Medicina Interna, 19e. Capítulo 78.
Dr. Patricia Sánchez
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