Bleeding Disorders a Scare or Properly Reassured

Abstract

In an attempt to distinguish between ALL, CML, CLL, AML, ITP, DIC, hemophilia A, hemophilia B, von Willebrand disease, Microangiopathic Hemolytic Anemia, Bernard-Soulier syndrome, Glanzmann thrombasthenia, Vitamin K deficiency, Heparin-induced thrombocytopenia, Coagulation Factor Inhibitor, and Factor 5 Leiden, might influence the decision to work as a consultant clinical pathologist. Since most patients with bleeding disorders are at risk for post-surgical bleeding, CNS bleeding, post-trauma bleeding, nosebleeds (epistaxis), death from liver illness (hemorrhage), etc., it might become challenging for med school students or junior doctors to diagnose. When performing any type of invasive or non-invasive procedure, including emergency or elective surgery, hospitals, clinics, and the relevant junior doctors and medical students must treat these illnesses as the primary focus of care and conduct routine blood tests, platelet count, PT, PTT, hemoglobin, bleeding time, and, if necessary, a bone marrow biopsy. An abnormal ristocetin test (for Von Willebrand disease) and a D-dimer test (for DIC) can be considered. It needs proper interpretation with a strong command of concepts, evaluation, and then diagnosis.