Investigation of Possible underlying Bleeding Disorder

This condition is treated in the Haematology (including oncological disorders) clinic.

Pre-referral work-up

History

All referrals should comply to referral standards referral standards and include in particular:

• Relevant investigations, including previous results to assess temporal pattern. However more importantly please provide:
  • Bleeding history
  • Family history

Tests

• Consider  von-Willebrand Disease testing, Haemophilia testing or a general screening test for heamostatic defects (e.g. PFA-100) may be useful
• Consider lupus anticoagulant serological testing *

Interim/GP management

To refer a patient with this condition, please see the Haematology clinic page for the full referral process and templates.

• * Please note: a lupus inhibitor will cause isolated prolongation of the APTT and is associated with thrombosis rather than bleeding. Mixing studies and lupus anticoagulant serological tests may be appropriate
• NB: The yield of investigation of – easy bruising" with standard coagulation studies is relatively low and historical details are more important

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency

? Blood film suggestive of thrombotic thrombocytopenic purpura (TTP/HUS).

If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.

Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.

Availability

North

Launceston General Hospital
Level 1 - W.P. Holman Clinic
Phone: 03 6777 6140
Fax: 03 6331 6371

North West

North West Regional Hospital > Mersey Community Hospital
Torquay Road Latrobe TAS 7307

Visit Northern Cancer Service

South

Phone: 
Appointments: 03 6166 6655 
Clinic Nurses: 03 6166 6637

Fax: 03 6173 0484

Royal Hobart Hospital
Level 1
A Block
48 Liverpool Street
Hobart TAS 7000