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Management of coagulation disorders in general practice.

In patients with untreated coagulation disorders

  • Symptoms of hereditary disorders may not be
    considered as abnormal by some families
    and therefore may not be mentioned without
    prompting.
    - A family history should always be obtained.
  • One-third of the newborn with severe hemophilia
    do not have a family history of the disease.20

Vaccinations

  • In patients with coagulation disorders, most
    vaccines can and should be given
    subcutaneously, including:20
    - Diphtheria, tetanus and pertussis
    - Measles, mumps and rubella
    - Meningitis
  • Patients with coagulation disorders should be
    vaccinated against hepatitis A & B.20
If you suspect a coagulation disorder, investigate the patient’s bleeding history.


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