Comment diagnostiquer un trouble hémorragique ?

Le diagnostic repose sur des antécédents médicaux, des tests de coagulation et des analyses sanguines.

Quels tests sont utilisés pour évaluer la coagulation ?

Les tests courants incluent le temps de prothrombine (TP) et le temps de thromboplastine partielle activée (TTPa).

Les antécédents familiaux sont-ils importants ?

Oui, des antécédents familiaux de troubles hémorragiques peuvent indiquer une prédisposition génétique.

Comment évaluer la gravité d'un saignement ?

La gravité est évaluée par la quantité de sang perdu et l'impact sur la santé générale du patient.

Les examens d'imagerie sont-ils nécessaires ?

Parfois, des examens d'imagerie comme l'échographie peuvent être nécessaires pour détecter des hématomes.

Quels sont les symptômes courants des troubles hémorragiques ?

Les symptômes incluent des saignements fréquents, des ecchymoses, et des saignements des gencives.

Comment reconnaître une hémorragie interne ?

Les signes incluent des douleurs abdominales, des vertiges, et des selles noires ou sanglantes.

Les saignements menstruels peuvent-ils indiquer un trouble ?

Oui, des menstruations excessives peuvent signaler un trouble hémorragique sous-jacent.

Quelles sont les manifestations cutanées des troubles hémorragiques ?

Des ecchymoses, des pétéchies et des saignements sous-cutanés peuvent apparaître.

Les saignements de nez sont-ils fréquents ?

Oui, les saignements de nez récurrents peuvent être un symptôme de troubles hémorragiques.

Comment prévenir les troubles hémorragiques ?

La prévention inclut un diagnostic précoce, une gestion des facteurs de risque et des soins appropriés.

Les vaccinations sont-elles importantes ?

Oui, certaines vaccinations peuvent prévenir des infections qui aggravent les troubles hémorragiques.

Le mode de vie influence-t-il ces troubles ?

Oui, un mode de vie sain, incluant une alimentation équilibrée, peut réduire les risques.

Les activités sportives doivent-elles être évitées ?

Certaines activités à risque doivent être évitées pour prévenir les blessures et les saignements.

Les consultations médicales régulières sont-elles nécessaires ?

Oui, des consultations régulières aident à surveiller et à gérer les troubles hémorragiques.

Quels traitements sont disponibles pour les troubles hémorragiques ?

Les traitements incluent des transfusions sanguines, des médicaments et des thérapies géniques.

Comment traiter l'hémophilie ?

L'hémophilie est traitée par des facteurs de coagulation administrés par voie intraveineuse.

Les anticoagulants sont-ils utilisés dans ces troubles ?

Non, les anticoagulants peuvent aggraver les saignements et ne sont pas recommandés.

Quelles sont les options pour les saignements sévères ?

Les options incluent des médicaments hémostatiques et, dans certains cas, une intervention chirurgicale.

Les traitements varient-ils selon le type de trouble ?

Oui, le traitement dépend du type spécifique de trouble hémorragique et de sa gravité.

Quelles complications peuvent survenir ?

Les complications incluent des hémorragies internes, des chocs hypovolémiques et des infections.

Les troubles hémorragiques peuvent-ils être mortels ?

Oui, des saignements non contrôlés peuvent entraîner des complications graves et potentiellement mortelles.

Comment les troubles hémorragiques affectent-ils la qualité de vie ?

Ils peuvent limiter les activités quotidiennes et nécessiter des soins médicaux fréquents.

Les troubles hémorragiques augmentent-ils le risque d'infections ?

Oui, les traitements comme les transfusions peuvent augmenter le risque d'infections.

Les complications peuvent-elles être évitées ?

Certaines complications peuvent être évitées par une gestion proactive et un traitement approprié.

Quels sont les facteurs de risque des troubles hémorragiques ?

Les facteurs incluent des antécédents familiaux, des maladies hépatiques et certains médicaments.

L'âge influence-t-il le risque ?

Oui, le risque de troubles hémorragiques augmente avec l'âge en raison de la dégradation des fonctions corporelles.

Les femmes sont-elles plus à risque ?

Certaines conditions, comme les troubles menstruels, peuvent augmenter le risque chez les femmes.

Les médicaments peuvent-ils augmenter le risque ?

Oui, certains médicaments, comme les anticoagulants, peuvent augmenter le risque de saignement.

Les maladies auto-immunes sont-elles un facteur de risque ?

Oui, certaines maladies auto-immunes peuvent affecter la coagulation et augmenter le risque de saignement.

Troubles hémorragiques - Informations médicales vérifiées

Shared decision-making in Argentina in 2022.

Jun 2022

DOI: 10.1016/j.zefq.2022.04.008 PMID: 35610137

Argentina is an upper-middle income country located in South America with an estimated population of 46.2 million inhabitants. There is no unified research agenda or government initiatives encouraging...

Argentina Decision Making Decision Making, Shared Germany Humans +1 autres

Epistemic justice is the basis of shared decision making.

06 2023

DOI: 10.1016/j.pec.2023.107681 PMID: 36871402

There is little evidence that share decision-making (SDM) is being successfully implemented, with a significant gap between theory and clinical practice. In this article we look at SDM explicitly ackn... We propose to see conditions for shared decision-making in terms of epistemic justice, an explicit acknowledgment and acceptance of the legitimacy of healthcare users and their accounts and knowledges... The epistemic-justice perspective we adopt leads to at least three implications for clinical practices. First, clinical training must go beyond the development of communication skills and focus more o...

Humans Decision Making, Shared Decision Making Physician-Patient Relations Communication +2 autres

Shared decision making in the treatment of pediatric strabismus.

Feb 2024

DOI: 10.1016/j.jaapos.2023.11.016 PMID: 38237724

To quantify the results of shared decision making in pediatric strabismus surgery from the parent perspective using the nine-item Shared Decision Making (SDM) Questionnaire and the associations of SDM... Consecutive parents of children 2-14 years of age with concomitant manifest strabismus that consented to strabismus surgery were surveyed using the SDM Questionnaire. A four-point Likert scale was use... A total of 100 parents (86 women) completed the survey and were included. Significant differences for SDM score were found between individuals with university-level versus the other three educational ... In our study cohort, SDM score was correlated with educational level. Satisfaction was greater among responders with higher SDM scores, indicating that SDM may help improve parent-reported satisfactio...

Humans Child Female Decision Making, Shared Decision Making +4 autres

Moving shared decision-making forward in Iran.

Jun 2022

DOI: 10.1016/j.zefq.2022.05.001 PMID: 35606310

Although there have been breakthroughs in patients' rights and informed consent legislation in Iran during the last few years, there is still no policy regarding shared decision-making (SDM). Besides,...

Decision Making Decision Making, Shared Germany Humans Iran +1 autres

Shared decision making in rheumatology: A scoping review.

10 2022

DOI: 10.1016/j.semarthrit.2022.152041 PMID: 35738040

Shared decision making is a collaborative process where patients and clinicians work together to understand the patient's situation and to determine how best to address it. While shared decision makin... To perform a scoping review of research on shared decision making in rheumatology METHODS: We analyzed literature on shared decision making in rheumatology from Ovid MEDLINE, PsycINFO, Sciverse Scopus... Of 3191 articles screened, 63 studies were included for analysis. Shared decision making in rheumatology improves patient satisfaction and adherence to treatment plans. We identified 13 patient decisi... Our review identified 63 studies of shared decision making in rheumatology, including 13 studies of patient decision aids. Future areas of research include identifying tools for shared decision making...

Decision Making, Shared Health Literacy Humans Patient Participation Patient Satisfaction +1 autres

For which decisions is Shared Decision Making considered appropriate? - A systematic review.

01 2023

DOI: 10.1016/j.pec.2022.09.015 PMID: 36220675

To identify decision characteristics for which SDM authors deem SDM appropriate or not, and what arguments are used.... We applied two search strategies: we included SDM models from an earlier review (strategy 1) and conducted a new search in eight databases to include papers other than describing an SDM model, such as... From the 92 included papers, we identified 18 decision characteristics for which authors deemed SDM appropriate, including preference-sensitive, equipoise and decisions where patient commitment is nee... The findings of this review show the broad range of decision characteristics for which authors deem SDM appropriate, the ambiguity of some, and potential limits of SDM.... The findings can stimulate clinicians to (re)consider pursuing SDM in situations in which they did not before. Additionally, it can inform SDM campaigns and educational programs as it shows for which ...

Humans Decision Making, Shared Patient Participation Decision Making Databases, Factual

Shared decision making with black patients: A scoping review.

05 2023

DOI: 10.1016/j.pec.2023.107646 PMID: 36739706

The purpose of this review is to explore the breadth of research conducted on SDM in the care of Black patients.... We conducted a scoping review following the methodological framework outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. We searched articles related... After removal of duplicates and screening, 30 articles were included in the final analysis. Black patients and clinician were found to not share the same understanding of SDM, and patients highly valu... SDM has the potential to improve health outcomes in Black patients when implemented contextually within Black patients' experiences and concerns. Significant barriers such as clinician mistrust exist,...

Humans Decision Making, Shared Decision Making Patient Participation Black People +1 autres

Shared decision making and advance care planning: a systematic literature review and novel decision-making model.

14 08 2023

DOI: 10.1186/s12910-023-00944-7 PMID: 37580704

Shared decision making (SDM) and advance care planning (ACP) are important evidence and ethics based concepts that can be translated in communication tools to aid the treatment decision-making process... In order to assess how SDM and ACP is applied in usual care, we have performed a systematic literature review. The included studies have been analysed by means of thematic analysis as well as abductiv... The search in Medline, Cinahl, Embase, Scopus, Web of science, Psychinfo and Cochrane revealed 15 studies. Eleven describe various steps of SDM while four studies discuss the documentation of goals of... To be able to make informed choices about immediate and future care, patients should be engaged in both SDM and ACP decision-making processes. This allows for an iterative process in which each import...

Humans Decision Making Decision Making, Shared Advance Care Planning Records +2 autres

Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem.

Jun 2023

DOI: 10.1007/s10728-022-00451-7 PMID: 36462103

Person centered care (PCC) invites ideas of shared responsibility as a direct result of its shared decision making (SDM) process. The intersection of PCC and psychiatric contexts brings about what I r...

Humans Decision Making, Shared Patient Participation Psychiatry Mental Disorders +2 autres

Dimensional Analysis of Shared Decision Making in Contraceptive Counseling.

07 2022

DOI: 10.1016/j.jogn.2022.04.005 PMID: 35605641

To conduct a dimensional analysis to identify conceptual gaps around shared decision making (SDM) in reproductive health care and to refine the conceptual definition of SDM as related to contraceptive... We identified source data through systematic searches of the CINAHL and PubMed databases.... We included peer-reviewed research and nonresearch articles that addressed contraceptive counseling for pregnancy prevention in the United States. We did not consider date of publication as an inclusi... Using dimensional analysis, we extracted data to clarify the definition of SDM as a socially constructed concept that varies by perspective and context.... Data synthesis enabled us to compare SDM from patient and provider perspectives and to identify four primary dimensions of SDM that varied by context: Patient Preferences, Relationship, Provider Bias,... The four dimensions we identified illustrate the complexity and depth of SDM in contraceptive counseling encounters and broaden the definition of SDM to more than an encounter in which decision making...

Contraceptive Agents Counseling Decision Making, Shared Humans

Troubles hémorragiques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Troubles de l'hémostase

Maladie du pool vide

Thrombocytémie essentielle

Hémangiome caverneux

Réaction de Schwartzman

Auteurs principaux

Sources (10000 au total)