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A Bleeding Disorder 

A Bleeding Disorder
Chapter:
A Bleeding Disorder
Author(s):

John C. O’Horo

and Philippe R. Bauer

DOI:
10.1093/med/9780190464813.003.0046
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date: 23 October 2019

Abnormal coagulation study findings can result from several critical illnesses. The broad differential diagnosis of these disorders requires a thorough history, physical examination, and further laboratory investigations appropriate for the patient’s clinical presentation. In treating a critically ill patient who has a coagulopathy, the first step is to control all major sources of bleeding. Physical examination to identify areas of blood loss, such as hemoperitoneum, thigh hematoma, gastrointestinal tract blood loss, or massive hemoptysis, should be followed by attempting hemostasis with an appropriate procedural intervention, such as direct pressure, endoscopy, or surgery.

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