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Abnormal Bleeding, Pediatric

Char M. Witmer, MD, MSCE Reviewed 10/2018
 


BASICS

DESCRIPTION

Abnormal bleeding may present as 
  • Frequent or significant mucocutaneous bleeding (epistaxis, bruising, gum bleeding, or menorrhagia)

  • Bleeding in unusual sites such as muscles, joints, ...

DIAGNOSIS

Approach to patient 
  • Phase 1

    • Includes a thorough history and physical exam

    • Familial history specifically of bleeding or consanguinity

    • Standard screening laboratory tests include PT, aPTT, and pl...

TREATMENT

GENERAL MEASURES

  • Pressure on wound

  • Elevation

  • Topical application of thrombin

  • Topical application of clot-activating polymers

ADDITIONAL READING

  • Buchanan GR. Bleeding signs in children with idiopathic thrombocytopenic purpura. J Pediatr Hematol Oncol.  2003;25(Suppl 1):S42–S46. [View Abstract on OvidInsights]

  • Khair K, Li...

CODES

ICD9

  • 286.9 Other and unspecified coagulation defects

  • 784.7 Epistaxis

  • 924.9 Contusion of unspecified site

  • 287.1 Qualitative platelet defects

  • 626.2 Excessive or frequent menstruation

  • 287.5 Thrombocytope...

FAQ

  • Q: What are the proper preoperative screening tests for bleeding disorders prior to elective surgery such as tonsillectomy?

  • A: A thorough personal history, familial history, and physical exam are b...

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