Bruising / Bleeding

Hemophilia
Idiopathic thrombocytopenic purpura
Leukemia

  • Describe the mechanism of hemostasis: platelet plug formation, coagulation cascade and clot stabilization
  • Demonstrate an approach to the interpretation of coagulation studies
  • Describe the indications, contraindications and complications of blood products and their administration

Overview & Foundational Knowledge

Consolini DM. Thrombocytopenia in infants and children. Pediatrics in Review 2011; 32: 135-49.

Review of platelet disorders, causes of thrombocytopenia in children with a focus on ITP- good tables and diagrams for learning.

Zimmerman B & Valentino LA. Hemophilia: In review. Pediatrics in Review 2013; 34: 289.

Good review and foundational knowledge. Reviews clotting cascades.

Tizard EJ & Hamilton-Ayres MJJ.  Henoch-Schönlein purpura.  Archives of disease in childhood. Education and practice edition, 2008; 93(1), 1-8.

Good general article Includes foundational knowledge, diagnosis and visuals.

Brayer AF & Humiston SG. Invasive meningococcal disease in childhood.  Pediatrics in Review, 2011; 32(4): 152-160.

Review of meningococcal disease. Clinical features, treatment guidelines and complications.

The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective.

http://www.cps.ca/documents/position/medical-assessment-of-bruising

http://www.cps.ca/fr/documents/position/evaluation-medicale-des-ecchymoses

Canadian Pediatric Society Practice Guideline (2013). Good tables, differential diagnoses.

Clinical Resources

Meningococcal vaccines in Canada: An update

http://www.cps.ca/en/documents/position/meningococcal-vaccine

http://www.cps.ca/fr/documents/position/vaccins-contre-le-meningocoque

Canadian Paediatric Society Position Statement (2011)

Clinical Presentations