Personal practice
An approach to investigation of easy bruising
A Vora, M MakrisSheffield
Children's Hospital, Sheffield S10 2TH, UK
Correspondence to: Dr Vora ajay.vora@sheffch-tr.trent.nhs.uk
Accepted 31 January
2001
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
|---|
Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a specialist? When can it be safely concluded that an underlying bleeding disorder has been excluded, so that further investigations can focus on ruling out suspected non-accidental injury? When, despite an abnormal clotting test, should the latter investigations still be pursued?
The intention of this review is to attempt to answer these questions
from the perspective of routine practice without recourse to a
comprehensive review of bleeding disorders or non-accidental injury. We
intend to address only the patient seen electively in the outpatient
clinic for investigation of easy bruising, not an acutely ill child
presenting to accident and emergency with purpura, whose differential
diagnosis varies from, most often, no cause found, to, less commonly,
meningococcal sepsis or
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
