Von Willebrand disease screening: Difference between revisions
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==Screening== | ==Screening== | ||
Scoring key for the Pediatric Bleeding Questionnaire used in screening Von willebrand disease | Scoring key for the Pediatric Bleeding Questionnaire used in screening Von willebrand disease<ref name="pmid25982122">{{cite journal |vauthors=Mittal N, Naridze R, James P, Shott S, Valentino LA |title=Utility of a Paediatric Bleeding Questionnaire as a screening tool for von Willebrand disease in apparently healthy children |journal=Haemophilia |volume=21 |issue=6 |pages=806–11 |year=2015 |pmid=25982122 |pmc=4673659 |doi=10.1111/hae.12689 |url=}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
!Symptom/score | !Symptom/score | ||
Revision as of 15:08, 15 December 2016
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Von Willebrand disease Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Von Willebrand disease screening On the Web |
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American Roentgen Ray Society Images of Von Willebrand disease screening |
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Risk calculators and risk factors for Von Willebrand disease screening |
|
Von Willebrand disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Von Willebrand disease screening On the Web |
|
American Roentgen Ray Society Images of Von Willebrand disease screening |
|
Risk calculators and risk factors for Von Willebrand disease screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Screening
Scoring key for the Pediatric Bleeding Questionnaire used in screening Von willebrand disease[1]
| Symptom/score | -1 | 0 | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|---|
| Epistaxis | - | No or trivial (≤5 per
year) |
>5 per year OR >10
minutes duration |
Consultation only | Packing, cauterization or
antifibrinolytics |
Blood transfusion, replacement
therapy or desmopressin |
| Cutaneous | - | No or trivial (≤1cm) | >1cm AND no trauma | Consultation only | - | - |
| Minor wounds | - | No or trivial (≤5 per
year) |
>5 per year OR >5
minutes duration |
Consultation only or Steristrips | Surgical hemostasis or
antifibrinolytics |
Blood transfusion, replacement
therapy or desmopressin |
| Oral cavity | - | No | Reported at least once | Consultation only | Surgical hemostasis or
antifibrinolytics |
Blood transfusion, replacement
therapy or desmopressin |
| Gastrointestinal
tract |
- | No | Identified cause | Consultation or spontaneous | Surgical hemostasis,
antifibrinolytics, blood transfusion, replacement therapy or desmopressin |
- |
| Tooth extraction | No bleeding in at least
2 extractions |
None done or no
bleeding in 1 extraction |
Reported, no
consultation |
Consultation only | Resuturing, repacking or
antifibrinolytic |
Blood transfusion, replacement
therapy or desmopressin |
| Surgery | No bleeding in at least
2 surgeries |
None done or no
bleeding in 1 |
Reported, no
consultation |
Consultation only | Surgical hemostasis or
antifibrinolytics |
Blood transfusion, replacement
therapy or desmopressin |
| Menorrhagia | - | No | Reported or consultation
only |
Antifibrinolytics or
contraceptive pill use |
D&C or iron therapy | Blood transfusion, replacement
therapy or desmopressin |
| Post-partum | No bleeding in at least
2 deliveries |
No deliveries or no
bleeding in 1 delivery |
Reported or consultation
only |
D&C, iron therapy or
antifibrinolytics |
Blood transfusion, replacement
therapy or desmopressin |
- |
| Muscle hematoma | - | Never | Post-trauma, no therapy | Spontaneous, no therapy | Spontaneous or traumatic,
requiring replacement therapy or desmopressin |
Spontaneous or traumatic,
requiring surgical intervention or blood transfusion |
| Hemarthrosis | - | Never | Post-trauma, no therapy | Spontaneous, no therapy | Spontaneous or traumatic,
requiring replacement therapy or desmopressin |
Spontaneous or traumatic,
requiring surgical intervention or blood transfusion |
| Central nervous
system |
- | Never | - | - | Subdural, any intervention | Intracerebral, any intervention |
| Other
(eg. umbilical stump bleeding, cephalhematoma, post-circumcision bleeding, post-venipuncture bleeding, and macroscopic hematuria) |
- | No | Reported | Consultation only | Surgical hemostasis,
antifibrinolytics or iron therapy |
Blood transfusion, replacement
therapy or desmopressin |
References
- ↑ Mittal N, Naridze R, James P, Shott S, Valentino LA (2015). "Utility of a Paediatric Bleeding Questionnaire as a screening tool for von Willebrand disease in apparently healthy children". Haemophilia. 21 (6): 806–11. doi:10.1111/hae.12689. PMC 4673659. PMID 25982122.