Bleeding disorders


1-Enumerate the causes of bleeding.
2- Diagnose the most common causes of bleeding
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