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How do I treat a patient with hemophilia?

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This Medical Condition Consult is presented by the JCDA Oasis Team. It is also available through the Oasis Help system

Our sincere thanks go to the MDs who developed and reviewed this medical consult. 

Hemophilia is a hereditary bleeding disorder caused by low factor VIII coagulant activity (hemophilia A) or low levels of factor IX coagulant activity (hemophilia B). Both forms have an X-linked recessive pattern of inheritance. Men are usually affected. Women are carriers.

Hemophilia Severity Classification

  • Mild: No spontaneous bleeding; delayed onset of bleeding after trauma, surgery, or dental extractions (6%–49% of the normal clotting factor).
  • Moderate: Bleeding with minor trauma; excessive bleeding with surgery (1%–5% of the normal clotting factor).
  • Severe: Spontaneous bleeding; excessive bleeding with trauma or surgery (< 1% of the normal clotting factor).

LA precautions

Drug Interactions

Effects on Bleeding

Defer Elective Care

General Treatment

Oral Manifestations

Do you need further information related to this subject? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

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1 Comment

  1. Dr Gary Ford May 8, 2013

    It would have been nice to be a little more thorough with regards to surgical coverage, such as packing the sockets with dental sponges, proper suturing techniques for closure, consideration of tissue glue to seal the wound etc.

    Reply

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