TY - CHAP M1 - Book, Section TI - Chapter 41. Hematologic Emergencies A1 - Strecker-McGraw, MK A1 - Mark Andrew, Wilson A2 - Stone, C. Keith A2 - Humphries, Roger L. PY - 2011 T2 - CURRENT Diagnosis & Treatment Emergency Medicine, 7e AB - Most bleeding seen in the emergency department is due to trauma, the result of local wounds, lacerations, or other structural lesions that occur in patients with normal hemostasis. Conversely, bleeding from multiple sites, bleeding from untraumatized sites, delayed bleeding several hours after trauma, and bleeding into deep tissues or joints suggest the possibility of a bleeding disorder. Historical data for the presence of a congenital bleeding disorder include the presence or absence of unusual or abnormal bleeding in the patient and other family members and the possible occurrence of excessive bleeding after dental extractions, surgical procedures, or trauma. Many patients with abnormal bleeding have an acquired disorder, commonly due to liver disease or drug use (particularly ethanol, aspirin, nonsteroidal anti-inflammatory drugs [NSAIDs], warfarin, and antibiotics). SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=55756032 ER -