Bruising / Bleeding

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Identify the symptoms and signs of bleeding or clotting disorders.
2. Describe the indications, contraindications and complications of blood products and their administration.
3. Propose an investigation and management plan for a patient with Idiopathic Thrombocytopenic Purpura.
4. Recognize the laboratory abnormalities for the following conditions

• Hemophilia
• Idiopathic Thrombocytopenic Purpura
• Leukemia

Half Day Cases

• A 3-year-old girl has a 2-day history of bruising, increasing epistaxis and gum bleeding
• A 2-day old baby has bleeding from the umbilical stump
• A 15-month old boy presents with a painful swollen right knee
• A 13-year-old girl who presents with excessive menstrual bleeding, recurrent nosebleeds and pallor