PPT-What’s Up with Bleeding

2012 Michael Recht MD PhD Director The Hemophilia Center Oregon Health amp Science University Disclosures Research funding directly to OHSU from NovoNordisk Baxter Biogen Idec Pfizer. Andrew McDonald. Alberts Cellular Therapy. “All bleeding eventually stops”. n. Modified Virchow’s triad. BLEEDING. Blood flow. Size. BP. Vessel wall. Endothelial activation. Collagen disorders. ASPIRE SSP Section . 10.6.1 . Updates. 31 January 2014. A Genital Bleeding Decision Tree has been developed to help guide documentation of genital . bleeding.. Above . all, clinical discretion should be used to determine if the participant is experiencing normal menstrual bleeding.. A new classification system. Abnormal Uterine Bleeding. Overarching term for the symptom of disturbed . menstral. bleeding. Discarded terms. DUB. Menorrhagia. AUB will be subdivided by causes such as polyps, ovulation disorders, . How Frequent Is Bleeding With NOACs?. Bleeding Risk: HAS-BLED. Bleeding Scores in AF. Biomarkers in AF. Reasons for and Implications of Elevated GDF-15 Level. GDF-15 in ARISTOTLE. GDF-15. Strongest Bleeding Marker. G. eneral Practice . Dr. Lubna Qayam. Outline. Causes. Approach. Management. Scenario 1. . A 32 year old lady P2 c/o spotting in between her periods, post coital bleeding with regular periods which lasts for 4-6 days, mild dysmenorrhoea, no dyspareunia. There is no significant medical history. There was a h/o STI in past which was treated successfully and she is in stable relationship for . Yasser Orief M.D.. Fellow . Lübeck. University, Germany.. DAOG, . Auvergné. University, France.. Case 1. C/O . Irregular menses x 6 months. 23 . yo. G1P1. 2 menses in past 6 months, heavier and longer than normal.. menapause. How you will Mange her. What about history taken . confirm . menopausal, when . was your last period?. Frequency. Length. quantity of bleeding . (The woman may report individual episodes of spotting, or she may report days or months of profuse bleeding).. 10.6.1 . Updates. 31 January 2014. A Genital Bleeding Decision Tree has been developed to help guide documentation of genital . bleeding.. Above . all, clinical discretion should be used to determine if the participant is experiencing normal menstrual bleeding.. What Undergraduates should know ?. Prof SM . Chandramohan. Prof and HOD. Department of Surgical Gastroenterology and. Center of Excellence for Upper GI Surgery. Madras Medical College and. Rajiv Gandhi Government General Hospital. To �nd out more, visit haemophilia.org.uk or contact us on 020 7939 0780 or at info@haemophilia.org.uk Charity no. 288260 (England & Wales) SC039732 (Scotland) UK company 1763614 FACTSHEE Alaraji. B.D.S.F.I.B.M.S. These are conditions that alter ability of blood vessels, platelet, and coagulation factors to maintain homeostasis. Inherited bleeding disorder are genetically transmitted while acquired bleeding disorders occur as the result of diseases that affect vascular wall integrity, platelets, coagulation factors, and drugs which cause bleeding, radiation, or chemotherapy for treatment of cancer also result in bleeding problems . . Dr. Tariq Aladily. Associate professor. Department of Pathology. The University of Jordan. tnaladily@ju.edu.jo. Abnormal bleeding. Defined as spontaneous bleeding or prolonged bleeding after trauma. Caused by abnormality in:. Dr. Mohammad Al-. Katari. Consultant Adult Hematology & Internal Medicine. King Khalid University Hospital – King Saud University. Outlines . Bleeding Disorders. Overview of Hemostasis.. Approach to the bleeding Pt.. LGI Bleeding :. Abnormal hemorrhage . into the lumen of the bowel from a source distal to the . ligament . of . Treitz. . . 95% from the colon .. Up . to 40% of patients with lower GI bleeding, more than one potential source of hemorrhage is identified. .