Abstract

The aim of the study is to find the correlation of the clinical findings with the hematological findings in patients with bleeding manifestations. A blood pressure cuff inflates around the upper arm of patient. While the cuff is on the arm, a prick is given on the fingertip. It is just deep enough to cause a tiny amount of bleeding. The blood pressure cuff is immediately deflated. Blotting paper is touched to the cuts every 30 seconds until the bleeding stops. The time taken for the cuts to stop bleeding is recorded. Result: Idiopathic thrombocytopenic purpura is more common in females (78%, as compared to males (22%). Similarly Systemic diseases causing bleeding manifestations are more common in females (63%) as compared to males (37%). But the same is not true in case of Aplastic anemia where males (71%) are more commonly affected than females (62%). While in case of haemophilia, the disease is 100%prevalent in males with 0% females. Conclusion: It is also our observation that many patients having hemostatic disorders do not necessarily have prolonged bleeding or clotting time which means that hemostasis is dependent on many other unknown in vitro (technical considerations) or in vivo (over the counter drugs) factors. Among the bleeding disorders platelet disorders (74%) are more common than coagulation disorders (15%). 87% cases are found to share clinical & hematological findings while no correlation seen in 13% cases.

Description

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