Assessment
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Bruising Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Bruising. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the bruising ?

    Why: determines if acute or chronic; acquired or inherited.

  2. Type of bruising under the skin?

    Why: purpura ( multiple small hemorrhages into the skin or mucous membranes); petechiae (small pinhead size purpura); ecchymoses ( large purpura).

  3. If petechiae are present, are they palpable?

    Why: if palpable it suggests due to an underlying vasculitis affecting small vessels e.g. polyarteritis nodosa; if not palpable it suggests due to a platelet defect.

  4. Is bruising abnormal and out of proportion to the offending injury?

    Why: suggests a disturbance of coagulation.

  5. Is bruising spontaneous?

    Why: suggests the presence of a systemic bleeding defect.

  6. Does bruising occur immediately after trauma or is it delayed?

    Why: if immediate suggests platelet defect; if delayed i.e. 24 hrs after trauma it suggests a coagulation factor deficiency.

  7. What has been the response to previous coagulation stresses?

    Why: e.g. tooth extraction, circumcision, pregnancy - if normal response, suggests an acquired not inherited problem.

  8. Did you notice a viral illness or sore throat beforehand?

    Why: may suggest acute Immune thrombocytopenic purpura (ITP) especially in children.

  9. Domestic violence or child abuse?

    Why: may suggest trauma as cause of bleeding under skin.

  10. Past medical history?

    Why: Acquired bleeding disorders can occur with liver disease, renal failure, lupus erythematosus and some cancers such as Multiple myeloma, myelofibrosis.

  11. Medications?

    Why: Acquired bleeding disorders may be due to certain prescribed medications e.g. aspirin, non-steroidal anti-inflammatory medication, anticoagulant therapy, thiazide diuretics, chloramphenicol, cancer chemotherapy drugs, gold, heparin, quinine, quinidine, sulphonamides.

  12. Family history of bleeding symptoms/ bleeding disorders?
  13. Alcohol history?

    Why: Alcoholic cirrhosis can cause an acquired bleeding disorder.

  14. Have you noticed bleeding from other areas?

    Why: e.g. blood in urine, heavy menstrual periods, bleeding nose, bleeding gums, swollen painful joints, rectal bleeding? - suggests presence of a systemic bleeding defect.

  15. Tiredness, weight loss, fever or sweats?

    Why: may suggest malignancy such as leukemia.

  16. Skin rash?

    Why: may suggest lupus erythematosus which can cause an autoimmune thrombocytopenia.

  17. Widespread itchiness of skin?

    Why: may suggest myeloproliferative cancers that can cause an acquired bleeding disorder or iron deficiency secondary to blood loss.

Conditions listing medical symptoms: Bruising:

The following list of conditions have 'Bruising' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Bruising or choose View All.

View All A B C D E F G H I K L M N O P R S T V W X Y

Conditions listing medical complications: Bruising:

The following list of medical conditions have 'Bruising' or similar listed as a medical complication in our database.

 

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