Patient does not need objective exam finding to treat. Subjective complaints are a harbinger of serious issues.
Location
Peds: Ankle 80% of the time
Adults: Knees, then elbows, then ankles
Leads to joint destruction and chronic arthropathy if not adequately treated
Patients can reliably report when bleeding is occurring
Most common bleeding complaint
Peds: Ankle 80% of the time
Adults: Knees, then elbows, then ankles
Bleeding into soft tissues or muscle
Neck (airway compromise)
Limbs (compartment syndromes)
Eye (retro-orbital hematoma)
Spine (epidural hematoma)
Retroperitoneum (iliopsoas bleeds and massive blood loss)
Most common initial complaint
Neck (airway compromise)
Limbs (compartment syndromes)
Eye (retro-orbital hematoma)
Spine (epidural hematoma)
Retroperitoneum (iliopsoas bleeds and massive blood loss)
Spontaneous bleeding uncommon from oropharynx, GI tract, epistaxis, or hemoptysis
Intracranial bleeding is most common cause of hemorrhagic death
Subdural hematomas occur spontaneously or with minimal trauma
Common, usually not serious, source is rarely found
Hemophilia
Too few
Von Willebrand disease
Thrombocytopenia
Factor V Leiden
Nonfunctional
Hereditary hemorrhagic telangiectasia
Aspirin