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Related Concept Videos

Disorders of Hemostasis01:24

Disorders of Hemostasis

Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck

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Related Experiment Video

Updated: May 12, 2026

Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
09:09

Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock

Published on: November 3, 2023

Evaluation for bleeding disorders in suspected child abuse.

James D Anderst, Shannon L Carpenter, Thomas C Abshire

    Pediatrics
    |March 27, 2013
    PubMed
    Summary

    Evaluating bruising or bleeding in children suspected of abuse requires careful consideration of rare bleeding disorders. Clinical history and evaluation guide testing to differentiate trauma from underlying conditions.

    Area of Science:

    • Pediatrics
    • Hematology
    • Child Abuse Evaluation

    Background:

    • Bruising or bleeding in children can be misconstrued as abuse.
    • Distinguishing between trauma and underlying bleeding disorders is crucial for accurate diagnosis and care.
    • While many bleeding disorders are rare, some present symptomatically similar to child abuse.

    Purpose of the Study:

    • To provide guidance for clinicians on evaluating children for bleeding disorders when child abuse is suspected.
    • To help differentiate between inflicted trauma and inherited bleeding conditions.
    • To inform the appropriate extent of laboratory testing based on clinical presentation and disorder prevalence.

    Main Methods:

    • Review of clinical presentations of various bleeding disorders.

    Related Experiment Videos

    Last Updated: May 12, 2026

    Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
    09:09

    Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock

    Published on: November 3, 2023

  • Analysis of historical and clinical evaluation factors to determine the need for bleeding disorder testing.
  • Guidance on tailoring laboratory investigations.

    • Main Results:

    • Clinical history and physical examination are key to identifying children who may require bleeding disorder evaluation.
    • Not all children with concerning bruising need extensive bleeding disorder workups.
    • Understanding the prevalence and specific symptoms of rare bleeding disorders aids in targeted testing.

    Conclusions:

    • A thorough clinical assessment is essential to guide the evaluation of bleeding disorders in suspected child abuse cases.
    • Judicious use of laboratory testing can be employed based on clinical suspicion and known bleeding disorder characteristics.
    • This guidance aims to improve diagnostic accuracy and prevent unnecessary investigations.