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Screening Tools for Evaluating the Bleeding Adolescent

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Hematology in the Adolescent Female

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Abstract

Adolescents frequently present to the clinician with a concern for “abnormal” bleeding including bruising, epistaxis, heavy menstrual bleeding, and surgical bleeding. The subjective experience of bleeding as excessive or prolonged can be difficult to evaluate. Bleeding assessment tools comprised of questionnaires and pictorial descriptions with a scoring system have evolved over the last 40 years as an objective means of quantifying bleeding. A validated bleeding assessment tool can thus assist the provider in differentiating “normal” vs “abnormal” bleeding. As there are several bleeding tools and instruments available to clinicians, when encountering a patient with a bleeding complaint, it is important to understand which tools may yield the best diagnostic information for that individual. This chapter will illustrate and compare various bleeding assessment tools as well as discuss the history, development, and future application of these instruments. Use of the appropriate bleeding assessment tool can greatly enhance the diagnosis and management of bleeding disorders and can reduce unnecessary and costly testing.

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Author information

Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Emory University School of Medicine, The Emory Clinic, Atlanta, GA, USA

    Kalinda Woods

  2. Medical Director CHCMN Hemophilia and Thrombosis Center, Children’s Hospital and Clinics of Minnesota, Minneapolis, MN, USA

    Sue Kearney

Authors
  1. Kalinda Woods
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  2. Sue Kearney
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Corresponding author

Correspondence to Kalinda Woods .

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Editors and Affiliations

  1. Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA

    Lakshmi V. Srivaths

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Woods, K., Kearney, S. (2020). Screening Tools for Evaluating the Bleeding Adolescent. In: Srivaths, L. (eds) Hematology in the Adolescent Female. Springer, Cham. https://doi.org/10.1007/978-3-030-48446-0_2

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  • DOI: https://doi.org/10.1007/978-3-030-48446-0_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-48445-3

  • Online ISBN: 978-3-030-48446-0

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