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

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

https://doi.org/10.1542/pir.34-7-289

Good review and foundational knowledge. Reviews clotting cascades.

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.

Hutter JJ. Childhood leukemia.  Pediatrics in Review 2010; 31(6): 234-240.

https://doi.org/10.1542/pir.31-6-234

Very scientific and comprehensive. Note: ANNL = AML.

Clinical Resources

Diagnosis and management of typical, newly diagnosed primary immune thrombocytopenia (ITP) of childhood

https://cps.ca/en/documents/position/immune-thrombocytopenia

Canadian Paediatric Society Practice Point

Approach to Thrombocytopenia

https://www.pedscases.com/approach-thrombocytopenia

This PedsCases Note provides a one-page infographic on an approach to thrombocytopenia,

Virtual Patients or Cases

Peds Cases Bleeding and Bruising Part 1

https://www.pedscases.com/approach-bleeding-and-bruising-part-1

This podcast will highlight an approach to bleeding and bruising in pediatric patients (1/2)

Peds Cases Bleeding and Bruising Part 2

https://www.pedscases.com/approach-bleeding-and-bruising-part-2

This podcast will highlight an approach to bleeding and bruising in pediatric patients (2/2)

Approach to Acute Leukemia in Children

https://www.pedscases.com/approach-acute-leukemia-children

This episode presents an approach to acute leukemia in children.

Cards

Bruising / Bleeding

Bruising / Bleeding

Canuc-Paeds physician authored, replayable cases