Bleeding Disorders 1

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Questions and Answers

Which symptom is commonly associated with primary haemostatic disorders?

  • Epistaxes (correct)
  • Intramuscular haematomas
  • Prolonged bleeding time
  • Haemarthroses

What is a distinguishing feature of secondary haemostatic disorders?

  • Haemarthroses occurs commonly (correct)
  • Bleeding is immediate
  • Gender distribution is equal
  • Petechiae are common

Which condition is characterized by a platelet count below 150 x 10^9/L?

  • Thrombocytopenia (correct)
  • Leukopenia
  • Thrombocytosis
  • Normal platelet count

Which of the following is NOT a common symptom of primary haemostatic disorders?

<p>Haemarthroses (D)</p> Signup and view all the answers

In which gender is secondary haemostatic disorders more prevalent?

<blockquote> <p>80% of cases are male (D)</p> </blockquote> Signup and view all the answers

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Study Notes

Primary Haemostatic Disorder

  • Characterized by thrombocytopenia and von Willebrand disease (VWD).
  • Immediate bleeding occurs upon injury.
  • Common symptoms include:
    • Petechiae: small, red or purple spots caused by bleeding under the skin.
    • Epistaxis: frequent nosebleeds.
    • Menorrhagia: heavy menstrual bleeding.
  • Haemarthroses (joint bleeding) do not occur.
  • Intramuscular hematomas are uncommon.
  • Gender distribution is equal, affecting both sexes similarly.

Coagulation Disorder (Secondary Haemostatic Disorders)

  • Primarily associated with hemophilia.
  • Delayed bleeding occurs after injury.
  • Symptoms vary:
    • No petechiae present.
    • Epistaxis is not commonly reported.
    • Menorrhagia is not frequently observed.
  • Haemarthroses occur commonly, leading to bleeding into joints.
  • Intramuscular hematomas are a common finding.
  • More than 80% of cases are found in males.

Causes of Bleeding Defects

  • Vascular defects: weak vessels that leak blood.
  • Decreased platelet number: condition known as thrombocytopenia.
  • Decreased platelet function.
  • Decreased coagulation factors in the blood.

Thrombocytes (Platelets)

  • Also referred to as platelets, essential for blood clotting.
  • Normal platelet count ranges from 150 to 400 x 10^9/L.

Thrombocytopenia

  • Defined as a condition with a low platelet count, significantly below the normal range.

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