Bleeding disorders

IDevice Icon Anticipatory
Could you classify the causes of bleeding?

IDevice Icon Objective

1-Enumerate the causes of bleeding.

2- Diagnose the most common causes of bleeding

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Causes of bleeding disorders can be classified to:

 


Coagulation disorder:


Congenital Coagulation disorder:

  • Hemophilia A,B
  • Von willibrand′s disease
  • Coagulation factor deficiency

Acquired Coagulation disorder:

  • DIC
  • Vitamin K deficiency
  • Pathological anticoagulant
  • Hepatic disorder
  • Renal disorder
  • Cardiopulmonary by-pass
  • Massive transfusion
  • Drug induced bleeding
  • Malignant disorder

Platelet disorder:

Quantitative platelet disorder:

  • Thrombocytopenia ( decrease number of platelet ) caused by:

1-Decrease production:

congenital : eg Fanconi anemia , Amegakaryocytic thrombocytopenia.

Aquired: Marrow failure ,marrow infiltration ,viral infection

2- Increase destruction

A- Immune causes:

  • Formation of auto-immune antibodies eg ITP(immune thrombocytopenic purpura), Evan'S syndrome and SLE.
  • Formation of allo-immune antibodies: Post-transfusion ,post-transplantation and post-natal.
  • Drug induced antibodies.

B- Non immune causes:DIC ( disseminated intravascular coagulation),TTP( thrombotic thrombocytopenic purpura)HUS (hemolytic uremic syndrome)....

3- Sequestration

4-Massive transfusion

Thrombocythemia( increase number of platelet )

Due to

1- Primary thrombocythemia

2- Secondary thrombocythemia

Qualitative platelet disorder:

Congenital :eg Glanzmanns purpura and bernard soulier syndrome(BSS)

Acquired :due to systemic disease ,hematological disorders and some drugs

IDevice Icon Photographies of some clinical manifistations :
Show The photograph show purpura (bruises) in the skin Image
The photograph show purpura (bruises) in the skin
Show The photograph shows haemartharosis Image
The photograph shows haemartharosis
IDevice Icon Assessment
IDevice Icon Transition
Next lesson is about the initial investigations that should be done for coagulation assessment .