bleeding ortho algorithm peds ddxof disease bleed anticoagulation diagnosis risk hematology

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Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison

Stroke and bleeding ... risk stratification ... schemas #Diagnosis ... #Hematology #CHADS2 ... #Anticoagulation

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Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
• No

Bleeding risk calculators ... - HAS-BLED (atrial ... Calculators #Anticoagulation ... #Factors #Hematology ... #Diagnosis

CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C Congestive Heart Failure 1

H Hypertension 1

A2 Age >75 2

D Diabetes Mellitus 1

S2 Stroke,

and bleed risk ... 2 V Vascular disease ... S Stroke 1 B Bleeding ... #AFib #Diagnosis ... #Hematology

HAS-BLED Score - Risk of Major Bleeding in 1 Year
Characteristics (1 point each)
• Hypertension: Baseline

HAS-BLED Score - ... Risk of Major Bleeding ... Of antiplatelet meds ... #Bleeding #anticoagulation ... #diagnosis #stratification

HAS-BLED Score
- Hypertension: Baseline SBP > 160mmHg
- Renal disease: Cr > 2.6mg/dL, on HD,

HAS-BLED Score ... 160mmHg - Renal disease ... of antiplatelet meds ... #HASBLED #Risk ... #Anticoagulation

Causes of Bleeding / Bruising - Differential Diagnosis Algorithm
Thrombocytopenia - Quantitative Defect
• Decreased Production
•

Causes of Bleeding ... - Differential Diagnosis ... Algorithm Thrombocytopenia ... - Acquired • Anticoagulation ... #Hematology

Hemophilia - Diagnosis and Management
Diagnosis:
• Consistent bleeding history (unless screening for disease in family members

screening for disease ... with established disease ... Avoid meds that ... ↑ bleeding risk ... Management #treatment #hematology

Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency

- Differential Diagnosis ... Algorithm Occult ... • Occult UGI bleeding ... Patient • RULE OUT BRISK ... #Algorithm #Causes

Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

event, follow ACC algorithm ... Cataract Plan for Meds ... Anticoagulation ... - what is the bleeding ... stratification #diagnosis

Peripartum Cardiomyopathy - Summary
1. Definition
• Towards the end of pregnancy to 5 months postpartum

Differential Diagnosis ... Valvular heart disease ... Period • Breast-feeding ... suggest prophylactic anticoagulation ... teratogenic GDMT meds

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