Hemorrhagic diathesis

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.

Bibliographic references
  1. Reed E Drews. Approach to the adult patient with a bleeding diathesis. UpToDate, Julio, 2015.
  2. 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.
  3. 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.
  4. J. C. Reverter. Enfermedades de la hemostasia. Farreras Rozman. Medicina Interna, ed 18. Capítulo 210
  5. Barbara A. Konkle. Hemorragia y trombosis. Harrison. Principios de Medicina Interna, 19e. Capítulo 78.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Skin purpura


    Cold sweat


    Nosebleed


    Red spotting on the skin - petechiae


    Superficial bruising on the skin

Pre-hospital care recommendations

Apply pressure to stop bleeding.
Apply a clean bandage that does not stick to the wound.