Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleeding before surgery. A thorough history, including a family history, will guide the appropriate work-up, and a physical examination may provide clues to diagnosis. A standardized bleeding score system can help physicians to organize the patient's bleeding history and to avoid overlooking the most com...

Scurvy is a condition due to chronic ascorbic acid deficiency responsible for vascular fragility and impaired bone formation. The result gingival bleeding, petechial lesions articular pain or limb swelling. Children may also present with irritability, limping refusal walk. Because of these symptoms it can be misdiagnosed osteomyelitis, septic arthritis, soft tissue tumour, leukaemia, bleeding d...

Although many bleeding disorders, such as hemophilia, have been well characterized for many years, the knowledge of hypercoagulability syndromes is significantly less. This is the result of a long-held belief that hypercoagulability disorders were simply related to excessive amounts of the same coagulation factors that patients with bleeding disorders lacked. Now hypercoagulability disorders ar...

Adults with bleeding disorders may present to their family physician with minor bleeding symptoms or hematologic laboratory abnormalities discovered during evaluation for surgery or another purpose. Identifying the small proportion of adults who have an underlying bleeding disorder as the cause for such signs or symptoms may be challenging. In cases of asymptomatic hematologic laboratory abnorm...

BACKGROUND Bleeding is a common clinical presentation. Even patients with mild bleeding disorders are extensively investigated for ascertaining the cause. The present study was conducted in order to evaluate the extent of the possibility of diagnosis in mild bleeding disorders. MATERIAL AND METHODS This was a prospective study of patients referred for work up of mild bleeding for a period of ...