Tag Archives: bleeding history

Case 100 (part D) – summary

Posted on 05/10/2018 by TeamHaem

The patient had mild thrombocytopenia and has suffered epistaxis. Epistaxis is relatively common and therefore structural causes should also be looked into. This is especially so if the nose bleeds are unilateral. There is a wide differential of why someone … Continue reading →

Posted in Inherited bleeding, Laboratory morphology, Paediatric haematology, Platelet disorders | Tagged bleeding, bleeding history, Blood film, epistaxis, Laboratory tests, May Hegglin, morphology, MYH9, thrombocytopenia

Case 100 (part D) – update

Posted on 05/10/2018 by TeamHaem

You repeat the FBC and it shows similar results Hb 141g/l (130-180) MCV 89fl (82-98) WCC 7.5×109/l (4-11) Neutrophils 4.7×109/l (1.7-7.5) Lymphocytes 2.1×109/l (1.5-4.5) Platelets 70×109/l (150-450) Coagulation screen – normal U&E/LFT – normal Blood film: Questions What is the … Continue reading →

Case 100 (part D) – the beginning

Posted on 04/10/2018 by TeamHaem

You are a GP evaluating a 12 year old boy with persistent nose bleeds. He otherwise feels well with no past medical history. He is on no medications. FBC shows: Hb 140g/l (130-180) MCV 90fl (82-98) WCC 8.5×109/l (4-11) Neutrophils … Continue reading →

Posted in Inherited bleeding, Paediatric haematology, Platelet disorders | Tagged bleeding, bleeding history, epistaxis, thrombocytopenia

Case 92 – summary

Posted on 15/04/2018 by TeamHaem

Thanks for your help with the cases. This week we have looked at three different scenarios regarding bleeding or bruising presenting in the paediatric population. The cases although different have some common themes: Coagulation testing in paediatrics is challenging for … Continue reading →

Posted in Acquired bleeding, Inherited bleeding, Paediatric haematology | Tagged APTT, bleeding, bleeding history, bruising, coagulation, coagulopathy, easy bruising, Ehlers Danlos, Factor assays, factor deficiency, Factor XII, family history, intercranial haemorrhage, neonatal, non-accidental injury, paediatrics, vitamin K

Case 92 – part B

Posted on 10/04/2018 by TeamHaem

Thanks for your help with case 1 the baby is improving. The following morning you as the Haematology registrar have been referred a 5 year old girl who presented due to parental concern with easy bruising. The bruising was noted … Continue reading →

Posted in Acquired bleeding, Inherited bleeding, Paediatric haematology | Tagged bleeding, bleeding history, bruising, connective tissue disease, easy bruising, Ehlers Danlos, family history

Case 64 – part 2 – summary

Posted on 11/09/2016 by TeamHaem

The main aim of this case was to remember that the coagulation screen alone is not suitable for ruling out a bleeding disorder. The most common inherited bleeding disorder frequently will have a normal clotting screens. Indiscriminate clotting screens are … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, DDAVP, preoperative assessment, type I vWD, Von willebrands disease

Case 64 – part 2b

Posted on 11/09/2016 by TeamHaem

Further questioning of our pre-operative patient reveals she has easy bruising without trauma and has required cauterisation for epistaxis in the past. She bled after a tooth was removed and had to see the dentist following the procedure due to … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, preoperative assessment, type I vWD, Von willebrands disease

Case 64 – part 2a

Posted on 10/09/2016 by TeamHaem

A 31 year old female is in pre-assessment clinic for an elective laparoscopic cholecystectomy for gallstones. She has no other major medical problems although she does say that she bruises easily after trauma. She also has heavy periods which are managed … Continue reading →

Posted in Inherited bleeding | Tagged bleeding, bleeding history, clotting, coagulation, coagulation screen, preoperative assessment

Case 64 – part 1 – summary

Posted on 09/09/2016 by TeamHaem

We started with a 72 year old gentleman who was having an elective pacemaker insertion. He had an isolated prolonged APTT and we have previously used the following flow chart to make a diagnosis: It should be remembered that … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, DDAVP, Factor VIII, FFP, haemophilia, haemophilia A, preoperative assessment, Von willebrands disease

Case 64 – part 1c

Posted on 08/09/2016 by TeamHaem

Our patient has a long APTT and has a haematoma and extensive bruising following pacemaker insertion. He is not on any anticoagulation, but does not have any previous clotting screens to compare to. Given the bleeding history, FFP is administered … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, Factor VIII, FFP, haemophilia, haemophilia A, preoperative assessment

Case 64 – part 1b

Posted on 07/09/2016 by TeamHaem

The patient with abnormal clotting resulst goes ahead with his planned pacemaker insertion. There is no major bleeding during the procedure but afterwards there is a large haematoma around the pocket with extensive bruising. Repeat clotting screen shows: PT … Continue reading →

Posted in Inherited bleeding | Tagged APTT, bleeding, bleeding history, clotting, coagulation, coagulation screen, haemophilia, haemophilia A, preoperative assessment

Case 64 – part 1a

Posted on 06/09/2016 by TeamHaem

This week we’re going to present a series of short cases around clotting results. Hopefully we’ll demonstrate when coagulation screens should be used and also how to interpret basic abnormalities. It most be noted that different labs will use different … Continue reading →