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 Ddimer test (for DIC) can be considered. It needs proper
interpretation with a strong command of concepts,
evaluation, and then diagnosis.