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

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... #Diagnosis #Hematology ... #Score #Risk #Stroke ... #Bleed #Anticoagulation
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm
Thrombocytopenia - Quantitative Defect
 • Decreased Production
 •
Causes of Bleeding ... - Acquired • Anticoagulation ... Coagulation #Bleeding ... Diagnosis #Algorithm #Causes ... #Hematology
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,
bleed risk on anticoagulation ... 2 V Vascular disease ... 1 B Bleeding ... #Bleed #Anticoagulation ... AFib #Diagnosis #Hematology
HAS-BLED Score - Risk of Major Bleeding in 1 Year
Characteristics (1 point each)
 • Hypertension: Baseline
Risk of Major Bleeding ... 160mmHg • Renal disease ... transplant • Liver disease ... - Strong Medicine ... #anticoagulation
HAS-BLED Score
 - Hypertension: Baseline SBP > 160mmHg
 - Renal disease: Cr > 2.6mg/dL, on HD,
160mmHg - Renal disease ... transplant - Liver disease ... - History of stroke ... Eric Strong https ... #Anticoagulation
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
Breakthrough DVT During Anticoagulation ... Subtherapeutic Anticoagulation ... - Behcet's disease ... Structural - Pelvic masses ... #hematology #differential
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Indications for tPA in Stroke ... diagnosis of ischemic stroke ... present, in which case ... Active internal bleeding ... • Therapeutic anticoagulation
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- History of bleeding ... epistaxis, gingival bleeding ... PT, aPTT(liver disease ... bypass), LFT (liver disease ... #Workup #hematology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... basement membrane disease ... of glomerular disease ... Hematuria: • Stone ... • Anticoagulation
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
screening for disease ... normal in mild cases ... Eric Strong @DrEricStrong ... - Strong Medicine ... Management #treatment #hematology