Question

CASE STUDY 1 A 54-year-old woman presents with multiples large bruises which she develops at different...

CASE STUDY 1

A 54-year-old woman presents with multiples large bruises which she develops at different times. She claims that the bruises occur spontaneously or following trivial injuries.

His hemostasis screening test shows a prolonged aPTT.

question: discuss what further investigations you would do and justify the reasons for doing the investigations?

Homework Answers

Answer #1

Bruises could be due to

  • injury
  • falling on hard surface
  • violent attack
  • physical assault

The underlying reasons for bruises could be

  • Thrombocytopenia
  • Anemia
  • Viral diseases
  • Hemophilia
  • Collagen disorders

Blood disorders are usually followed by bruises

Management

  • Ice pack can be applied at the affected area during first 24-48 hours.
  • Injured part must be kept at rest in order to decrease the pain and swelling.
  • After a period of 2 days, heat pack may be applied over the affected area.
  • Use of cold and heat helps to reduce swelling in the affected area.
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