BLEEDING DISORDERS A scare or properly reassured

Dr. Namballa Naveen, M.B.B.S.
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Abstract

In an attempt to distinguish between ALL, CML, CLL,AML, ITP, DIC, hemophilia A, hemophilia B, vonWillebrand disease, Microangiopathic Hemolytic Anemia,Bernard-Soulier syndrome, Glanzmann thrombasthenia,Vitamin K deficiency, Heparin-inducedthrombocytopenia, Coagulation Factor Inhibitor, andFactor 5 Leiden, might influence the decision to work asa consultant clinical pathologist. Since most patientswith bleeding disorders are at risk for post-surgicalbleeding, CNS bleeding, post-trauma bleeding,nosebleeds (epistaxis), death from liver illness(hemorrhage), etc., it might become challenging formed school students or junior doctors to diagnose.When performing any type of invasive or non-invasiveprocedure, including emergency or elective surgery,hospitals, clinics, and the relevant junior doctors andmedical students must treat these illnesses as theprimary focus of care and conduct routine blood tests,platelet count, PT, PTT, hemoglobin, bleeding time, and,if necessary, a bone marrow biopsy. An abnormalristocetin test (for Von Willebrand disease) and a Ddimer test (for DIC) can be considered. It needs properinterpretation with a strong command of concepts,evaluation, and then diagnosis.
出血性疾病:恐惧或适当的安慰
试图区分ALL、CML、CLL、AML、ITP、DIC、血友病A、血友病B、血管性血友病、微血管性溶血性贫血、Bernard-Soulier综合征、Glanzmann血栓减少症、维生素K缺乏症、肝素诱导的血小板减少症、凝血因子抑制剂和Leiden因子5,可能会影响作为临床病理学顾问工作的决定。由于大多数出血性疾病患者存在术后出血、中枢神经系统出血、创伤后出血、鼻血(鼻出血)、肝脏疾病(出血)死亡等风险,因此可能对初中生或初级医生的诊断具有挑战性。当进行任何类型的侵入性或非侵入性手术时,包括急诊或选择性手术,医院,诊所和相关的初级医生和医学生必须将这些疾病作为护理的主要重点,并进行常规血液检查,血小板计数,PT, PTT,血红蛋白,出血时间,必要时进行骨髓活检。可以考虑进行异常利斯特凝素试验(用于血管性血友病)和聚二聚体试验(用于DIC)。它需要正确的解释,对概念的掌握,评估,然后诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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