BLEEDING/BRUISING

Bleeding / Bruising Detailed history and physical exam rule out purpura consider non-accidental injury check CBC INR PTT history of mucosal bleeding petechiae and bruising on exam low platelets normal INR normal PTT platelets thrombocytopenia see bleeding and bruising approach to thrombocytopenia disorder platelet function confenital disorders of platelet function drugs (eg ibuprofen aspirin normal platelets normal INR normal PTT vascular system connective tissue disorders inflammatory vasculitis drugs may have history of prolonged bleed hemarthrosis positive family history normal platelets increased INR and/or PTT disorders and coagulation see bleed and bruiding approach to disorders of coagulation