{"id":2426,"date":"2019-08-19T05:45:20","date_gmt":"2019-08-19T05:45:20","guid":{"rendered":"http:\/\/papergp.com\/index.php\/others\/bruising\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"bruising","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/misc\/bruising\/","title":{"rendered":"Bruising"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Data gathering<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Site<ul><li>the absence of trauma<\/li><li>5 or more bruises of >1cm in diameter occurring simultaneously <\/li><li>face\/torso<\/li><\/ul><\/li><li>Nutritional status<ul><li>Vulnerable, malabsorption<\/li><\/ul><\/li><li>Family history<\/li><li>Previous bleeding problems<ul><li>Heavy periods, transfusions after surgery<\/li><\/ul><\/li><li>Risk factors for liver disease<ul><li>Alcohol, IV drug use<\/li><\/ul><\/li><li>Medications<ul><li>NSAIDs, Antiplatelets, Anticoagulants, Steroids<\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical management<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Investigations<ul><li>Bloods &#8211; FBC, U+E, LFTs, Blood film, Clotting screen, INR (if on warfarin)<\/li><\/ul><\/li><li>Management<ul><li>Stop offending medication<\/li><li>If deficiency suspected &#8211; Consider trial of vitamin C or K<\/li><\/ul><\/li><li>Refer<ul><li>Significant bleeding history<\/li><li>Positive family history, especially in women with menorrhagia<\/li><li>Abnormal blood results<\/li><li>Patient is pregnant or due to have elective surgery<\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Reference<\/h4>\n\n\n\n<p>BMJ 2017;356:j251<\/p>\n\n\n\n<p><a href=\"https:\/\/www.gp-update.co.uk\/SM4\/Mutable\/Uploads\/pdf_file\/Bruising_-investigation_1.pdf\">https:\/\/www.gp-update.co.uk\/SM4\/Mutable\/Uploads\/pdf_file\/Bruising_-investigation_1.pdf<\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Site the absence of trauma 5 or more bruises of >1cm in diameter occurring simultaneously face\/torso Nutritional status Vulnerable, malabsorption Family history Previous bleeding problems Heavy periods, transfusions after surgery Risk factors for liver disease Alcohol, IV drug use Medications NSAIDs, Antiplatelets, Anticoagulants, Steroids Clinical management Investigations Bloods &#8211; FBC, U+E, LFTs, Blood &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/misc\/bruising\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Bruising<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2487,"menu_order":200,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2426","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2426","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=2426"}],"version-history":[{"count":1,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2426\/revisions"}],"predecessor-version":[{"id":2428,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2426\/revisions\/2428"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2487"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}