Continued...

Conclusion

Children are likely to experience bruising and bleeding as normal events. The pediatrician must be able to distinguish such normal events from defective hemostasis. A thorough medical history and physical examination should enable the clinician to identify those children who deserve to undergo further evaluation. With this approach in mind, pediatricians should be capable of performing the initial laboratory evaluation and making the correct diagnosis in majority of cases.

Further reading :

1. Thomas AE. The Bleeding Child; Is it NAI? Arch Dis Child 2004; 89 : 1163 - 1167.
2. Hampton KK, Preston FE. ABC of Clinical Hematology : Bleeding Disorders, Thrombosis and Anticoagulation. BMJ 1997; 314 : 1026 - 1032.
3. Allen GA, Glader B. Approach to the Bleeding Child. Pediatr Clin N Am. 2002; 49 : 1239 - 1256.
4. Lusher JM. Clinical and Laboratory Approach to the Patient with Bleeding. In Nathan and Oski's Hematology of Infancy and Childhood. 6th Edn. Eds. Nathan DG, Orki SH, Ginsburg D, Look AT. WB Saunders Company. 2003; pps 1515 - 1526.
5. Montgomery RR, Scott JP. The Clinical & Laboratory Evaluation. In Nelson Textbook of Pediatrics. 17th Edn. Eds. Behrman RE, Kliegman RM, Jenson HB.WB Saunders Company. 2004; pps 1653 - 1656.

Appendix 1: PHYSIOLOGY OF HEMOSTASIS

Appendix 2: INTERPRETATION OF TESTS OF HEMOSTASIS

Appendix 3 : MIXING STUDIES

Appendix 4 : MIXING STUDIES

Last updated on 01-05-2005 Vol 2 Issue 5 Art # 20

How to cite this url

Manglani M, Balamurugan P.Approach To A Bleeding Child.Pediatric Oncall [serial online] 2005 [cited 2005 May 1];2. Art # 20. Available from: