Practice tips

• A careful history and physical examination will usually pinpoint the cause of the bleeding disorder.

• Drug therapy can lead to unmasking of preexisting haemostatic disorders, e.g. platelet dysfunction induced by aspirin may cause spontaneous bleeding in patients with underlying von Willebrand's disease.

• Think of DIC in any acutely ill patient with abnormal bleeding from sites such as the mouth or nose, venepuncture or with widespread ecchymoses. The clinical situations are numerous, e.g. septicaemia, obstetric emergencies, disseminated malignant disease, falciparum malaria, snake bites.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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