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Misdiagnosis of Bleeding symptoms

Misdiagnosis and Bleeding symptoms

Unnecessary hysterectomies due to undiagnosed bleeding disorder in women: The bleeding disorder called Von Willebrand's disease is quite common in women, but often fails to be correctly diagnosed. Women with the condition tend to have heavy periods, since they actually have a bleeding disorder. Severe afflictions may result in the women receiving a hysterectomy unnecessarily, when the underlying cause has not been identified. See the introduction to Von Willebrand's disease and bleeding disorder.

Painful anorectal conditions: Anorectal problems are common and tend to cause serious anxiety in the patient due to its alarming symptoms like extreme pain, discharge, bleeding, pruritus and lumps. Some of the conditions to be kept in mind in order not to miss out on correct condition would include anal fissure, haemorrhoids, perianal abscess and solitary rectal ulcer. Anal fissure can be extremely painful and a careful inspection alone must be done to come to a diagnosis. Perianal abscess presents with throbbing pain, fever and tender swelling can be felt. Look for evidence of a fistula. Bleeding is the main and only symptom in case of haemorrhoids. In solitary ulcer, sigmoidoscopy helps. Management is difficult and a chronic course is common.

Inspection the key to diagnose anal fissure: An anal fissure, although a minor problem, may lead to tremendous discomfort if not diagnosed promptly. Too often, the problem remains underrated or unnoticed by clinicians. However, when considered, the diagnosis is rather simple to make, and the treatment is usually quite effective. The diagnosis is usually made through a careful history and physical diagnosis is established by inspecting the anal region examination and a history of constipation is often present. A high residue diet and avoidance of constipation may lead to long term prevention.

Are moles a cause for concern?: Moles or Nevi are growths on the skin which appear as small brown or black spots. They usually appear in the first 2 decades of life. Moles are usually harmless, but they may become cancerous hence it is important to monitor them. Malignant melanoma is the predominant cancerous change in moles. Risk is high if the mole is congenital and is greater than 8 inches in diameter, if it first appears after the age of 20 years, if its is larger than a pencil eraser [1/4 inch], if it is irregular in shape and color [dyplastic] and finally if they are in a large number [greater than 50].It is best to seek medical advice if a new mole appears after the age of 20 yrs or if the mole shows burning, itching, oozing, bleeding, scaling, crust formation, change in color, size, shape and elevation.

More about Misdiagnosis


 » Next page: MELENA (Algorithmic Diagnosis of Symptoms and Signs)

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