Tut11 Case 5 tutorial - Bruising 1

Learning outcomes

1. Identify and differentiate between common causes of bleeding

   1. Describe ht main components of the haemostatic system and outline how each is activated to control bleeding
   2. Describe the pattern of blooding following injury to large blood vessels and to the microvasculature, and the mechanisms needed to establish good haemostasis in each
   3. Identify the main tests used to screen for haemostatic abnormalities and the main factors that effect each
   4. outline how the haemostatic system is controlled and thrombosis avoided
   5. Identify the main principles involved in treating inherited or acquired bleeding disorders caused by reduced levels of coagulation factors

2. Be able to diagnose haemophilia, identify the role of the therapeutic team and discuss the main issues involved in managing long term treatment.

   1. Interpret laboratory coagulation test results to diagnose haemphilia and distinguish it from other common bleeding disorders
   2. describe the respective roles of individuals who make up a therapeutic team for managing a condition such as Haemophilia A (patient, immediate family, - parent, haemophilia nurse, physiotherapist, haematologist, and GP) and other specialist staff from time to time, eg paediatrician geneticist orthopaedic surgeon

3. Identify the reproductive and generic choices related to serious inherited diseases.

   1. Outline the risks and benefits of genetic testing and screening
   2. identidy ethical issues associated with prebirth and familial genetic testing
   3. understnad th efactors in reproductive decision making in families with haemophilia

4. Identify and apply knowledge of core ethical concepts to clinical cases.

   1. apply a framework of values/principles to the desire of a person with haemophilia to engage in normal but ""risky” activities

5. Identify and apply knowledge os the psychological and social support important in the management of the aging adult with haemophilia.