Personal practice: An approach to investigation of easy bruising

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Personal practice: An approach to investigation of easy bruising.

Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a specialist? When can it be safely concluded that an underlying bleeding disorder has been excluded, so that further investigations can focus on ruling out suspe...

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An approach to investigation of easy bruising

Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a specialist? When can it be safely concluded that an underlying bleeding disorder has been excluded, so that further investigations can focus on ruling out suspe...

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Investigating easy bruising in a child.

life and more often associated with injury or severe illness) or of gingival or mucocutaneous bleeding (suggesting a platelet abnormality or severe Von Willebrand disease) • A history of prolonged bleeding after surgery such as circumcision or tooth extraction • Any pain or joint swelling or reluctance to move a limb (as seen with haemarthroses) • The age of onset of bruising, since bruising is...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2001

ISSN: 0003-9888

DOI: 10.1136/adc.84.6.488