Presentation
CONCLUSIONS: Hereditary thrombophilias are present in a significant number of thromboembolic events. [ncbi.nlm.nih.gov]
This study was aimed at estimating the incidence of factor X deficiency in patients presenting with bleeding disorders and its clinical presentations. [ayubmed.edu.pk]
In the present case, bleeding was established after the patient had bitted his tongue, causing a lacerated wound with persistent bleeding due to his systemic disease. [scielo.br]
Although most coagulation problems reflect acquired disorders, a number of inherited conditions can also present at this time. [fn.bmj.com]
[…] disorders of primary hemostasis (generally) failure of platelet plug formation disorders: VWD, platelet dysfunction bleeding tends to be mucosal, mild, presents early after injury disorders of secondary hemostasis (generally) failure of fibrin clot formation [quizlet.com]
Entire Body System
- Surgical Procedure
UPDATED Facial Cosmetic Surgery chapter is organized by nonsurgical and surgical procedures, covering popular procedures such as dermal fillers, botox, facial resurfacing, browlift and forehead procedures, blepharoplasty, rhinoplasty, and rhytidectomy [books.google.de]
Many oral surgical / dental procedures are associated with post-operative bleeding, which, in most cases, is self- limiting & non-problematic. [exodontia.info]
The patient also had an uncle who died from blood loss after a benign surgical procedure. On physical exam the patient has multiple ecchymoses on his arms, legs and abdomen, in various stages of healing. [medbullets.com]
Another common protocol calls for the cessation of warfarin altogether until the INR returns to near normal, and then initiating warfarin again after the surgical procedure, which likely puts patients at unnecessary risk. [nature.com]
After injections or surgical procedures. Also enquire regarding: Current medication: Including aspirin, clopidogrel, non-steroidal anti-inflammatory drugs, warfarin and other anticoagulants. [patient.info]
- Pain
[…] cause A painful headache that will not go away Prolonged bleeding from ordinary cuts or from surgery or dental work Sudden pain, swelling and warmth in joints or muscles Vision problems, such as double vision Vomiting repeatedly Symptoms of coagulation [rileychildrens.org]
The mother reports that he did not appear to be in a great deal of pain after the fall, and that she noted the swelling of the joint a few hours after the fall. He recently started walking approximately 2 weeks ago. [medbullets.com]
People should seek immediate medical care for serious symptoms, including heavy external bleeding, blood in the urine or stool, double vision, severe head or neck pain, repeated vomiting, difficulty walking, convulsions, or seizures. [en.wikipedia.org]
- Weakness
Anemia can cause weakness, shortness of breath, and dizziness. If a woman has endometriosis she may have heavy blood loss that she can not see because it is hidden in the abdominal or pelvic area. [healthline.com]
Symptoms may include: Pain or heaviness in the area affected Numbness, weakness, or a tingling in the affected area How Is Vascular Pain Treated? Therapies to treat vascular pain can include medications, angioplasty, or bypass surgery. [webmd.com]
Some patients show none of these symptoms, but complain of fatigue and general weakness. There are several causes of thrombocytopenia, which is more commonly acquired as a result of another disorder. [medical-dictionary.thefreedictionary.com]
Some patients show none of these symptoms but complain of fatigue and general weakness. There are several causes of thrombocytopenia, which is more commonly acquired as a result of another disorder. [healthofchildren.com]
[…] normal vessel architecture on ultrastructural analysis. [16] Thus, researchers postulate that an initiating event combined with abnormal repair results in the lesions. [17] Defects in the endothelial cell junctions, endothelial cell degeneration, and weakness [emedicine.medscape.com]
Hematological
- Easy Bruising
[…] on upper thighs and arms (often in women) Purpura simplex (easy bruising) Report of injury or atypical pattern of bruising inconsistent with history; bruising in children who are not mobile; bruises in the pattern of objects Physical abuse Thin skin [aafp.org]
[…] syndrome Scurvy (vitamin C deficiency) Clinical features Symptoms: bleeding associated with surgery, trauma, dental extractions, postpartum, circumcision or umbilical stumps, GI bleeding, intracranial hemorrhage, hemarthrosis or soft tissue hematomas, easy [pathologyoutlines.com]
However, the main signs include: unexplained and easy bruising heavy menstrual bleeding frequent nosebleeds excessive bleeding from small cuts or an injury bleeding into joints Schedule an appointment with your doctor right away if you have one or more [healthline.com]
Symptoms include easy bruising, bleeding in small cuts that stops and starts, abnormal bleeding after surgery, and abnormally heavy menstrual bleeding. [medical-dictionary.thefreedictionary.com]
Respiratoric
- Dyspnea
Hereditary hemorrhagic telangiectasia: fatigue and dyspnea. CMAJ. 2009 Apr 14. 180(8):839. [Medline]. Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome). [emedicine.medscape.com]
Gastrointestinal
- Vomiting
People should seek immediate medical care for serious symptoms, including heavy external bleeding, blood in the urine or stool, double vision, severe head or neck pain, repeated vomiting, difficulty walking, convulsions, or seizures. [en.wikipedia.org]
[…] bleeding Nosebleeds that seem to have no cause A painful headache that will not go away Prolonged bleeding from ordinary cuts or from surgery or dental work Sudden pain, swelling and warmth in joints or muscles Vision problems, such as double vision Vomiting [rileychildrens.org]
Related symptoms include vomiting, seizures, coma, shortness of breath, shock, severe pain in the back, muscles, abdomen, or chest. DIC is not a hereditary disorder or a common one. [medical-dictionary.thefreedictionary.com]
Related symptoms include vomiting ; seizures; shortness of breath; severe pain in the back, muscles, abdomen, or chest; and, if prolonged or uncorrected, shock and coma or death. [healthofchildren.com]
Workup
The decision to initiate a laboratory workup for thrombophilia is complex. [18, 19, 20, 21] A workup for thrombophilia is usually indicated only in patients with one or more of the following risk factors: Recurrent thromboembolic episodes Thromboembolism [emedicine.medscape.com]
A peripheral smear serves several purposes in a bleeding workup. [aafp.org]
Available online at http://emedicine.medscape.com/article/209742-workup. Accessed August 2016. Mir, M.A. (Updated 2016 May 12). Nonplatelet hemostatic disorders. Medscape. Available online at http://emedicine.medscape.com/article/210467-overview. [labtestsonline.org]
Clinical Testing and Workup Laboratories studies can include a complete blood count (CBC), coagulation tests and factor assay. [rarediseases.org]
Treatment
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.de]
The drugs fitusiran and concizumab may be useful treatments for several of the rare congenital coagulation disorders, but clinical trials will be needed. [merckmanuals.com]
Doctors at Riley at IU Health suggest a specific treatment plan based on the coagulation disorder that is diagnosed and: Your child's age and health The severity of the condition Your child's tolerance for medicines and treatments The likelihood of treatments [rileychildrens.org]
[…] hemophilia isn't lethal and our treatment is suboptimal the amount of clotting factor that needs to be generated is not specific site of production of factor is also not critical duration of treatment is not crucial treating congenital clotting factor [quizlet.com]
Prognosis
Prognosis The prognosis for patients with mild forms of coagulation disorders is normally good. Many people can lead a normal life and maintain a normal life expectancy. [medical-dictionary.thefreedictionary.com]
Prognosis The prognosis for individuals with mild forms of coagulation disorders is normally good. Many people can lead normal lives and achieve normal life expectancy. [healthofchildren.com]
Fields Madeline C, Levine SR. (2005) Thrombophilias and Stroke: Diagnosis, Treatment and Prognosis. Journal of Thrombosis and Thrombolysis; 20 113-126: Furie K, Kelly PJ, Kistler JP. (2004). Coagulation studies. [neurowikia.es]
Prognosis All the mentioned therapeutic options make VKCFD a disease with good prognosis and a low impact on the quality of life, with permanent disabling consequences only resulting in severely affected patients who have been diagnosed after critical [ojrd.biomedcentral.com]
The prognosis varies, depending on the severity of symptoms; generally, it is good, as long as bleeding is promptly recognized and adequately controlled. [emedicine.medscape.com]
Etiology
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.de]
When factor deficiencies are suspected, the etiology can usually be determined by checking a limited number of factors, keeping the following facts in mind: Factors II (prothrombin), VII, IX, and X are vitamin K-dependent. [clinicaladvisor.com]
[…] thrombasthenia 1 in 1,000,000 Autosomal recessive Bernard-Soulier syndrome < 1 in 1,000,000 Autosomal recessive Gray platelet syndrome Rare Autosomal dominant, recessive or X-linked recessive Wiskott-Aldrich syndrome 1 in 1,000,000 X-linked recessive Etiology [pathologyoutlines.com]
If initial testing does not reveal an etiology in a patient with a high suspicion for a bleeding disorder, the patient should be referred to a hematologist for additional evaluation. [aafp.org]
Etiology OWRD (ie, HHT) is a disorder that is inherited in an autosomal dominant fashion, [23, 24] though 20% of patients are unaware of a positive family history, partly because the lesions may be minimal and because 10% of patients have no episodes [emedicine.medscape.com]
Epidemiology
Department of Biostatistics and Epidemiology Finnish Institute of Occupational Health Helsinki Finland 3. Department of Education University of Helsinki Helsinki Finland 4. [link.springer.com]
Von Willebrand disease (VWD) VWD is the most common hereditary bleeding disorder with, according to epidemiological studies, an estimated prevalence worldwide as high as 1 to 2% in the general population [ 5 - 7 ]. [wrbd.org]
[…] reticulum-Golgi gene ERGIC 53 on #18 that transports these factors), combined factors II, VII, IX and X deficiency (due to mutation in gamma-glutamyl carboxylase gene, whose protein carboxylates glutamate residues in vitamin K-dependent coagulation factors) Epidemiology [pathologyoutlines.com]
The Euro-Phospholipid project epidemiology of the antiphospholipid syndrome in Europe. Lupus. 18: 889-93. Conde A, Aristin J, Gómez JC. (2010). Ictus, lupus eritematoso sistémico y síndrome antifosfolípido. [neurowikia.es]
Genetic epidemiology of hereditary hemorrhagic telangiectasia in a local community in the northern part of Japan. Hum Mutat. 2002 Feb. 19(2):140-8. [Medline]. Kjeldsen AD, Vase P, Green A. [emedicine.medscape.com]
Pathophysiology
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.de]
This article provides a summary of the pathophysiology of hemostasis (eg, bleeding and thrombosis disorders) and reviews the basic principles of history and physical findings to provide the primary care practitioner with the necessary tools for initial [pedsinreview.aappublications.org]
The findings of these studies may indeed represent the solitary role of FXII in the pathophysiology of stress-related dysfunctional endothelium. [omicsonline.org]
Prevention
Getting prompt treatment will help prevent any potential complications. [healthline.com]
Management of Medical Emergencies chapter helps you prepare for, prevent, and manage the most common emergencies that may occur in the dental office setting. [books.google.de]
Preventive dental care. Good oral hygiene can help prevent dental work and possible bleeding. Subcutaneous immunizations. Giving immunizations under the skin (subcutaneous) rather than into muscle reduces the chance of bleeding in the muscle. [rileychildrens.org]
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.com]
There is no known prevention for inherited prothrombin deficiency. When a lack of vitamin K is the cause, using vitamin K can help. Hypoprothrombinemia; Factor II deficiency; Dysprothrombinemia Gailani D, Wheeler AP, Neff AT. [medlineplus.gov]