Identification and Basic Management of Bleeding Disorders in Adults

Rebecca Kruse-Jarres, MD; Tammuella C. Singleton, MD; Cindy A. Leissinger, MD


J Am Board Fam Med. 2014;27(4):549-564. 

In This Article


Adults with undiagnosed bleeding disorders may initially present to their primary care provider with asymptomatic hematologic laboratory abnormalities or with abnormal bleeding symptoms in the outpatient or inpatient setting. Accordingly, family physicians should be prepared to recognize potential hallmarks of an underlying bleeding disorder and to initiate a proper workup and, in some cases, treatment, particularly if there is active bleeding. Consultation with a hematologist may be considered to assist with definitive diagnosis and, for patients who are ultimately diagnosed with a bleeding disorder, individualized long-term hemostatic management. The family physician serves as a crucial member of the multidisciplinary team providing care to adults with bleeding disorders and may play an especially important role in prioritizing routine and disease-related preventive care in this population.