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9301. The presence of bruising associated with fractures. Full Text available with Trip Pro

The presence of bruising associated with fractures. To determine the occurrence of bruising near the site of fracture in a group of children with inflicted fractures.Case series.Two children's hospitals.Suspected child abuse victims with fractures.The presence of bruising and fracture in a single body region or appendage.The study included 192 children with inflicted fractures. No bruising was found in 111 (57.8%) of the study participants. Forty patients (20.8%) had bruising near the site (...) of at least 1 fracture. Of these, bruising or subgaleal hematoma near the site of a skull fracture was seen most often, in 43.3% of patients. Bruising in association with extremity fractures was seen much less commonly, ranging from 3.8% (n = 2) of children with tibia fracture to 16.7% (n = 1) of children with fibula fracture. Rib fractures also were associated uncommonly with bruising. When skull fractures are excluded, 45 (8.1%) of 555 fractures had bruising near the fracture site, in 13 (6.8

2008 Archives of Pediatrics & Adolescent Medicine

9302. Women with red hair report a slightly increased rate of bruising but have normal coagulation tests. Full Text available with Trip Pro

Women with red hair report a slightly increased rate of bruising but have normal coagulation tests. There is an anecdotal impression that redheads experience more perioperative bleeding complications than do people with other hair colors. We, therefore, tested the hypothesis that perceived problems with hemostasis could be detected with commonly used coagulation tests. We studied healthy female Caucasian volunteers, 18 to 40 yr of age, comparable in terms of height, weight, and age (...) -haired volunteers reported significantly more bruising, but there were no significant differences between the red-haired and dark-haired groups in hemoglobin concentration, platelet numbers, prothrombin time/international normalized ratio, or activated partial thromboplastin time. Furthermore, no significant differences in platelet function, as measured by platelet function analysis or platelet aggregometry, were observed. We conclude that if redheads have hemostasis abnormalities, they are subtle.

2006 Anesthesia and Analgesia

9303. Ehlers-Danlos syndrome type VIII: periodontitis, easy bruising, marfanoid habitus, and distinctive facies. (Abstract)

Ehlers-Danlos syndrome type VIII: periodontitis, easy bruising, marfanoid habitus, and distinctive facies. An 11-year-old boy had a history of easy bruising and poorly healing wounds since infancy and severe, early-onset periodontitis. He also exhibited mild hypermobility of the small joints of the hands, long limbs with striking arachnodactyly, and a triangular face with delicate features. Analysis of type I and type III collagens revealed no abnormalities. These findings were consistent (...) with a diagnosis of Ehlers-Danlos syndrome type VIII (EDS-VIII), an autosomal dominant connective tissue disorder that was recently mapped to chromosome 12q13. We draw attention to the clinical features that typify EDS-VIII, including extensive pretibial bruising, a marfanoid body habitus, and characteristic facies, as well as childhood onset of progressive periodontal disease.

2006 Journal of American Academy of Dermatology

9304. Dietary supplements: altered coagulation and effects on bruising. (Abstract)

Dietary supplements: altered coagulation and effects on bruising. Patient use of dietary supplements that alter coagulation or have an effect on bruising is becoming increasingly common.To identify and describe dietary supplements that alter coagulation or are reported to alter bruising during and after surgical procedures.The MEDLINE, Cochrane Collaboration, and International Bibliographic Information on Dietary Supplements databases were searched for articles using the search words "bruising (...) ," "bleeding," "coagulation," "hemostasis," "herbal medicine," "alternative medicine," and "dietary supplement." Additional sources were obtained from manual searches of recent journal articles.In vivo and in vitro evidence supports the notion that many dietary supplements alter coagulation. Limited evidence is available to support anecdotal claims of diminished postoperative bruising after the use of dietary supplements.Surgeons should be aware that many of their patients are taking dietary supplements

2005 Dermatologic Surgery

9305. Bench to bedside: evidence for brain injury after concussion--looking beyond the computed tomography scan. Full Text available with Trip Pro

Bench to bedside: evidence for brain injury after concussion--looking beyond the computed tomography scan. The emergency management of cerebral concussion typically centers on the decision to perform a head computed tomography (CT) scan, which only rarely detects hemorrhagic lesions requiring neurosurgery. The absence of hemorrhage on CT scan often is equated with a lack of brain injury. However, observational studies revealing poor long-term cognitive outcome after concussion suggest (...) that brain injury may be present despite a normal CT scan. To explore this idea further, the authors reviewed the evidence for objective neurologic injury in humans after concussion, with particular emphasis on those with a normal brain CT. This evidence comes from studies involving brain tissue pathology, CT scanning, magnetic resonance image (MRI) scanning, serum biomarkers, formal cognitive and balance tests, functional MRI, positron emission tomography, and single-photon emission computed tomography

2006 Academic Emergency Medicine

9306. Recognition and characteristics of concussions in the emergency department population. (Abstract)

Recognition and characteristics of concussions in the emergency department population. An anonymous survey was conducted over a 6-month period of time using consenting Emergency Department (ED) patients in an attempt to better understand concussions occurring in the ED population. Calculations were made using the respondents' history and self-reported symptoms during the previous 12 months. Five hundred twenty-two of 700 approached patients responded to the anonymous questionnaire (...) . Of respondents, 20.1% (105/522) answered that they had experienced symptoms of a concussion after being hit in the head during the previous 12 months. Of the 105 respondents who experienced a concussion, 88.6% (93/105) did not recognize that they had suffered a concussion. There were 28.2% (147/522) of all respondents who were actively engaging in at least one activity that was considered to be at high risk for concussions. Headache was the most common symptom for both recognized and unrecognized concussions

2005 Journal of Emergency Medicine

9307. Oculocutaneous albinism and bruising in two sisters--probable Hermansky-Pudlak syndrome. Full Text available with Trip Pro

Oculocutaneous albinism and bruising in two sisters--probable Hermansky-Pudlak syndrome. Cases of Hermansky-Pudlak syndrome may present to the dermatologist, ophthalmologist or haematologist. Classically the diagnosis rests on the triad of oculocutaneous albinism, a bruising tendency and the presence of characteristic pigmented-containing cells in the bone marrow. Specific tests of platelet function can, however, suggest the diagnosis without recourse to invasive techniques. We describe

1995 Journal of the Royal Society of Medicine

9308. Ehlers-Danlos syndrome with recurrent bruising. Full Text available with Trip Pro

Ehlers-Danlos syndrome with recurrent bruising. 2269969 1991 02 15 2018 11 13 0141-0768 83 12 1990 Dec Journal of the Royal Society of Medicine J R Soc Med Ehlers-Danlos syndrome with recurrent bruising. 800-1 Anstey A A Department of Dermatology, Wycombe General Hospital, Bucks. Wilkinson J D JD Pope F M FM eng Case Reports Journal Article England J R Soc Med 7802879 0141-0768 IM Ehlers-Danlos Syndrome pathology Hand pathology Hematoma pathology Humans Male Middle Aged Recurrence 1990 12 1

1990 Journal of the Royal Society of Medicine

9309. Concussion.. Full Text available with Trip Pro

Concussion.. 21293690 2013 07 04 2018 11 13 0008-350X 26 1980 Oct Canadian family physician Medecin de famille canadien Can Fam Physician Concussion.. 1280 Bullard J J eng Journal Article Canada Can Fam Physician 0120300 0008-350X 2011 2 5 6 0 1980 10 1 0 0 1980 10 1 0 1 ppublish 21293690 PMC2383739 Can Fam Physician. 1980 Jul;26:948-51 21293557

1980 Canadian Family Physician

9310. Collapse, hoarseness of the voice and swelling and bruising of the neck: an unusual presentation of thoracic aortic dissection Full Text available with Trip Pro

Collapse, hoarseness of the voice and swelling and bruising of the neck: an unusual presentation of thoracic aortic dissection A 66 year old woman presented to the accident and emergency department with history of collapse, hoarseness of the voice, and swelling and bruising of the neck. The diagnosis was not initially obvious because of the absence of chest pain. The findings on the radiograph of the soft tissue of the neck and chest radiograph suggested the need for computed tomography

2001 Emergency Medicine Journal : EMJ

9311. Bruising in a man with aortic aneurysms Full Text available with Trip Pro

Bruising in a man with aortic aneurysms 12411625 2002 12 19 2018 11 13 0141-0768 95 11 2002 Nov Journal of the Royal Society of Medicine J R Soc Med Bruising in a man with aortic aneurysms. 556-7 Nikapota A D B AD Department of Haematology, East Surrey Hospital, Redhill, Surrey RH1 5RH, UK. Stern S C M SC eng Case Reports Journal Article England J R Soc Med 7802879 0141-0768 IM Aged Aortic Aneurysm, Abdominal complications Contusions etiology Disseminated Intravascular Coagulation diagnosis

2002 Journal of the Royal Society of Medicine

9312. The Concussion Puzzle: 5 Compelling Questions Full Text available with Trip Pro

The Concussion Puzzle: 5 Compelling Questions 12937487 2003 08 27 1938-162X 36 3 2001 Sep Journal of athletic training J Athl Train The Concussion Puzzle: 5 Compelling Questions. 225-226 eng Journal Article United States J Athl Train 9301647 1062-6050 2003 8 26 5 0 2003 8 26 5 0 2003 8 26 5 0 ppublish 12937487 PMC155409

2001 Journal of athletic training

9313. Postural Stability and Neuropsychological Deficits After Concussion in Collegiate Athletes Full Text available with Trip Pro

Postural Stability and Neuropsychological Deficits After Concussion in Collegiate Athletes OBJECTIVE: Postural stability and neuropsychological testing are gradually becoming integral parts of postconcussion assessment in athletes. Clinicians, however, sometimes question the viability of instituting preseason baseline testing and the value of these results in making return-to-play decisions. Our purpose was to examine the course of recovery on various postural stability and neuropsychological (...) measures after sport-related concussion. A secondary goal was to determine if loss of consciousness and amnesia, both of which are heavily weighted in most of the concussion classification systems, affect the rate of recovery. DESIGN AND SETTING: All subjects underwent a battery of baseline postural stability and neuropsychological tests before the start of their respective seasons. Any athletes subsequently injured were followed up at postinjury days 1, 3, and 5. Matched control subjects were assessed

2001 Journal of athletic training

9314. An unusual pattern of bruising Full Text available with Trip Pro

An unusual pattern of bruising 10832418 2000 06 16 2008 11 20 0093-0415 172 5 2000 May The Western journal of medicine West. J. Med. An unusual pattern of bruising. 298 Morris R R Department of Pediatrics, University of California, Los Angeles 90092, USA. Usatine R P RP eng Case Reports Journal Article United States West J Med 0410504 0093-0415 AIM IM Adolescent Contusions etiology Diagnosis, Differential Humans Male Medicine, Traditional Purpura etiology 2000 6 1 9 0 2000 6 24 11 0 2000 6 1 9

2000 Western Journal of Medicine

9315. An approach to investigation of easy bruising Full Text available with Trip Pro

An approach to investigation of easy bruising 11369565 2001 07 19 2018 11 13 1468-2044 84 6 2001 Jun Archives of disease in childhood Arch. Dis. Child. Personal practice: An approach to investigation of easy bruising. 488-91 Vora A A Sheffield Children's Hospital, Sheffield S10 2TH, UK. ajay.vora@sheffch-tr.trent.nhs.uk Makris M M eng Journal Article Review England Arch Dis Child 0372434 0003-9888 0 Anti-Inflammatory Agents, Non-Steroidal 0 Platelet Aggregation Inhibitors 9001-32-5 Fibrinogen (...) AIM IM Accidental Falls Anti-Inflammatory Agents, Non-Steroidal adverse effects Child Child Abuse diagnosis Child, Preschool Coagulation Protein Disorders blood complications diagnosis Collagen Diseases blood complications diagnosis Contusions blood diagnosis etiology Diagnosis, Differential Fibrinogen analysis Humans Infant Infant, Newborn Partial Thromboplastin Time Platelet Aggregation Inhibitors adverse effects Prothrombin Time Referral and Consultation Thrombin Time Thrombocytopenia blood

2001 Archives of Disease in Childhood

9316. Spontaneous Bruising in a Family Practice Population: How common and how benign is it? Full Text available with Trip Pro

Spontaneous Bruising in a Family Practice Population: How common and how benign is it? Purpura simplex, or the syndrome of "easy bruisability," is a benign, non-progressive clinical entity that can at times mimic more serious bleeding disorders. This study investigated the incidence of spontaneous bruising in a family practice population. Results suggest that spontaneous bruising is very common, particularly in women. Postulated mechanisms for purpura simplex are briefly reviewed.

1992 Canadian Family Physician

9317. Minimising bruising in the antecubital fossa after venepuncture. (Abstract)

Minimising bruising in the antecubital fossa after venepuncture. 3113576 1987 10 02 2008 11 20 0267-0623 294 6588 1987 Jun 27 British medical journal (Clinical research ed.) Br Med J (Clin Res Ed) Minimising bruising in the antecubital fossa after venepuncture. 1659 Dyson A A Bogod D D eng Clinical Trial Journal Article Randomized Controlled Trial England Br Med J (Clin Res Ed) 8302911 0267-0623 AIM IM Adult Blood Specimen Collection methods Elbow Female Hemostatic Techniques Humans Male Middle

1987 British medical journal (Clinical research ed.) Controlled trial quality: uncertain

9318. Effect of ice on bruising at cardiac catheter insertion sites (brachial approach). (Abstract)

Effect of ice on bruising at cardiac catheter insertion sites (brachial approach). 3288245 1988 07 28 2012 11 15 0813-0531 5 2 1988 Dec-Feb The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation Aust J Adv Nurs Effect of ice on bruising at cardiac catheter insertion sites (brachial approach). 27-32 McGowan S S Power J J eng Clinical Trial Comparative Study Journal Article Randomized Controlled Trial Australia Aust J Adv Nurs 8409358 0813 (...) -0531 0 Ice N Brachial Artery Cardiac Catheterization adverse effects Clinical Trials as Topic Contusions etiology prevention & control Female Humans Ice Male Middle Aged 1988 12 1 1988 12 1 0 1 1988 12 1 0 0 ppublish 3288245

1988 The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation Controlled trial quality: uncertain

9319. [Bruising after venepuncture]. (Abstract)

[Bruising after venepuncture]. A randomized cross-over investigation was carried out on 24 healthy volunteers to investigate the occurrence of bruising following compression on the extended or flexed elbow respectively, following venepuncture in the cubital fossa. Following 48 uncomplicated venepunctures (24 x 2) a total of 8 (17%) were found to have bruising, four of these after compression on the extended elbow and four after compression on the flexed elbow. It is concluded (...) that there are no differences in the frequencies of bruising following closed venepuncture in the cubital fossa regardless of whether the subsequent compression is undertaken on the extended or flexed elbow.

1989 Ugeskrift for laeger Controlled trial quality: uncertain

9320. Administering heparin subcutaneously: an evaluation of techniques used and bruising at the injection site. (Abstract)

Administering heparin subcutaneously: an evaluation of techniques used and bruising at the injection site. This experimental study tested the effects of four different subcutaneous injection techniques on bruising at the injection site. The independent variables of aspiration of the syringe prior to injecting heparin and pressure on the site following injection, and the dependent variable of size of bruising were studied. Aspiration of the syringe had little effect on bruising. After the first (...) injection, fewer subjects who received pressure following the injection had bruising, the difference being significant for females. However analysis of subsequent injections did not support the conclusion that pressure reduces the probability of bruising.

1990 The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation Controlled trial quality: uncertain

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