Easy Bruising and Bleeding
Jun 8th, 2022 by primarycareknowledgeboost
Doctors Lisa and Sara welcome Consultant Haematologist Dr Chris Gregory back to the podcast to discuss bruising and bleeding issues. We go through history, examination and differentials including patterns of bleeding more associated with different causes. We cover what constitutes excessive/concerning bleeding and blood test values that would lead to on the day/urgent referrals. At the end of the episode, you will hear our learning points. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Clinical Knowledge Summaries: Bruising (March 2021) https://cks.nice.org.uk/topics/bruising/
BMJ article Survey, Vitamin C deficiency as a cause of bruising: https://www.bmj.com/content/375/bmj.n2511.full
NICE Suspected Cancer Referrals for Haematological Malignancies (as of Dec 2021): https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#haematological-cancers
Greater Manchester Safeguarding Guidelines for Bruising in Non-mobile Children: https://greatermanchesterscb.proceduresonline.com/chapters/pr_bruising_babies_child.html
British Society for Haematology Guidelines: https://b-s-h.org.uk/guidelines/
Non UK based Information: American Family Physician Feb 2016 ‘Clinical evaluation of bleeding and bruising in primary care’. Includes a helpful breakdown of normal vs excessive bleeding etc: https://www.aafp.org/afp/2016/0215/p279.html
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This podcast has been made with the support of Greater Manchester Health and Social Care Partnership, GP Excellence, Greater Manchester Training Hub and the GP Fellowship Programme, as well as Wigan Borough CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.
The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.
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