<\/span><\/h2>\nBleeding, also called hemorrhage<\/span>, is the term used to describe the blood that escapes from the blood vessels<\/span>. Bleeding of the skin occurs if there is a lesion on the surface of the skin, and can sometimes occur spontaneously. The smallest areas of bleeding are known as petechiae<\/span> (each point is <2 mm) y purple<\/span> (2mm to 1cm).<\/p>\nSubungual<\/span> Hemorrhage, or bleeding under the nail plate, produces a painful or inadvertent purplish-black discoloration. The discoloration can persist for months as the nail carries blood with it as it grows.<\/p>\n\n<\/span>Examples of bleeding skin lesions<\/span><\/h5>\n<\/section>\n\n\n
\n
\n<\/div>\n
Basal cell carcinoma bleeding<\/p>\n
\n
\n<\/div>\n
Squamous cell carcinoma with crust<\/p>\n
\n
\n<\/div>\n
Subungual hematoma<\/p>\n<\/p><\/div>\n<\/section>\n
<\/div>\n
<\/span>What are bruises?<\/span><\/h2>\nA hematoma, also known as ecchymosis<\/span> or a contusion, occurs when small blood vessels (capillaries<\/span>) under the skin bleeding, while the overlying skin remains intact. The injury causes blood to leak and pool near the surface of the skin, causing bluish-black discoloration of the skin.<\/p>\nDeeper bruises result in a hematoma<\/span> - a collection of blood found within the tissues or cavities of the body.<\/p>\n\n<\/span>Bruising<\/span><\/h5>\n<\/section>\n\n\n
\n
\n<\/div>\n
Traumatic contusion<\/p>\n
\n
\n<\/div>\n
Bruising at the site of heparin injections<\/p>\n
\n
\n<\/div>\n
Ecchymoses associated with atrophy of the skin.<\/p>\n<\/p><\/div>\n<\/section>\n
<\/div>\n
\n
\n
\n
\n<\/div><\/div><\/div><\/div>\n
<\/span>Who bleeds \/ bruises?<\/span><\/h2>\nAnyone can bleed from a cut or develop a bruise after an injury. The severity of the bleeding depends on the impact of an injury. Repeated bleeding from the skin. injury<\/span> with minimal provocation can be a sign<\/span> fur Cancer<\/span>, more often basal<\/span> cell carcinoma<\/span>.<\/p>\nOccasional bruising is normal and does not require medical attention. Bleeding and bruising are more common in certain people, such as:<\/p>\n
\n- People with lighter skin tones, where bruises are more visible.<\/li>\n
- People who exercise a lot or play contact sports.<\/li>\n
- Older people, as the walls of their blood vessels weaken and their skin becomes thinner<\/li>\n
- \n
People with an inherited or acquired coagulation<\/span> disorder.<\/p>\n<\/li>\n<\/ul>\nBruising occurs more easily in certain places where blood collects easily, such as when a relatively minor bump results in a black eye.<\/p>\n
<\/span>What causes bleeding and bruising?<\/span><\/h2>\nAfter an injury, the body immediately tries to stop any loss of blood.<\/p>\n
\n- \nPlatelets<\/span> accumulate and block any defect in the blood vessel<\/span> walls<\/li>\n
- Blood vessels constrict.<\/li>\n
- Clotting factors are released.<\/li>\n<\/ol>\n
Defects in any of these three responses can lead to spontaneous or excessive bleeding and bruising.<\/p>\n
Platelets can be dysfunctional<\/span> or decreased in number. This can be due to conditions such as:<\/p>\n\n- Applastic anemia<\/span>\n<\/li>\n
- Leukemia<\/span><\/li>\n
- \nAutoimmune<\/span> disorders, such as systemic<\/span> lupus erythematosus\n<\/li>\n
- Disseminated<\/span> intravascular<\/span> coagulation<\/li>\n
- \nHemolytic<\/span> uremic syndrome<\/span>\n<\/li>\n
- Thrombotic thrombocytopenic purpura<\/li>\n
- Nephropathy<\/li>\n
- \n
Drugs that affect platelets (eg, Aspirin and clopidogrel), such as prescription drugs to prevent heart attacks and strokes, and nonsteroidal anti-steroidsinflammatory<\/span> drugs<\/li>\n<\/ul>\nBlood vessel defects, where the vessels are crooked or enlarged, include:<\/p>\n
\n- Vasculitis<\/span><\/li>\n
- Vitamin C deficiency<\/li>\n
- Marfan syndrome<\/li>\n
- \n
Ehlers-Danlos syndrome.<\/li>\n<\/ul>\n
A clotting factor deficiency may be due to medications that affect clotting factors (eg, Warfarin, heparin, rivaroxaban, and apixaban). They are often prescribed for atrial fibrillation or a recent blood clot in the veins or lungs. A clotting factor deficiency can also be the result of a medical condition, such as:<\/p>\n
\n- Liver disease<\/li>\n
- Hemophilia<\/span><\/li>\n
- Vitamin K deficiency<\/li>\n
- Von Willebrand disease<\/li>\n
- Deficiencies in other clotting factors.<\/li>\n<\/ul>\n
The use of systemic or current<\/span> Steroids can also increase the likelihood of bruising.<\/p>\n\n<\/span>Signs of bleeding disorders.<\/span><\/h5>\n<\/section>\n\n\n
\n
\n<\/div>\n
Hemophilia bruises<\/p>\n
\n
\n<\/div>\n
Petechiae due to thrombocytopenia<\/p>\n
\n
\n<\/div>\n
Petechiae due to thrombocytopenia<\/p>\n<\/p><\/div>\n<\/section>\n
<\/div>\n
<\/span>What are the symptoms of bleeding and bruising?<\/span><\/h2>\nLarger blood vessels, such as arteries, lead to heavier and longer bleeding than smaller ones, such as capillaries. Once the bleeding has stopped, a blackish color Cortex<\/span> or a scab forms as the wound heals underneath.<\/p>\nUsually a bruise appears first as a reddish patch<\/span>, which develops over a few hours into a blue, black, or purple discoloration. You may feel tender immediately after bruising and the area may be inflamed. Within a few days, the color fades to a yellowish-green, as the filtered blood breaks down.<\/p>\n\n
\n
\n
\n<\/div><\/div><\/div><\/div>\n
<\/span>What tests can be performed?<\/span><\/h2>\nTesting for bruises is generally not required. However, if a broken bone is suspected, an X-ray may be required.<\/p>\n
If bruising occurs for no reason or with extreme frequency, blood tests may be required to confirm a platelet<\/span> defect and determine if there is an underlying medical problem.<\/p>\n\n- Petechiae may be due to a platelet defect.<\/li>\n
- \nPigmented<\/span> purpura may indicate capillaritis.<\/li>\n
- \nPalpable<\/span> purpura suggests vasculitis.<\/li>\n
- Large contusions suggest clotting factor deficiencies due to liver disease or von Willebrand disease.<\/li>\n
- Bleeding in the joints may indicate hemophilia.<\/li>\n
- Exudate around catheters and blood collection sites in a sick patient may indicate disseminated intravascular coagulation, vitamin K deficiency, or thrombocytopenia<\/span>.<\/li>\n<\/ul>\n
<\/span>When should I seek medical attention?<\/span><\/h2>\nUrgent medical attention is required if the bruise is associated with extreme swelling and pain, as it could indicate a fracture in the underlying bone.<\/p>\n
A medical evaluation is also indicated to:<\/p>\n
\n- Bruises that are more frequent or severe than normal<\/li>\n
- Bruises for no reason<\/li>\n
- Bleeding from the gums, intestines, or urine.<\/li>\n
- Significant bruising or bleeding when taking anticoagulant medications.\n<\/li>\n
- Painful bruises under the nails.<\/li>\n<\/ul>\n
<\/span>What is the treatment for bruises?<\/span><\/h2>\nThere is no particular medical treatment for bruises. However, there are some techniques that can be used at home to reduce swelling and speed up the healing process.<\/p>\n
\n- Prepare an ice pack wrapped in a cold towel or flannel. Apply this to the affected area for 30 minutes, as soon as possible after the injury.<\/li>\n
- If practical, keep the bruised area elevated after the injury.<\/li>\n
- Acetaminophen can help with severe pain.<\/li>\n<\/ul>\n
Nonsteroidal anti-inflammatory<\/span> Medications such as aspirin and ibuprofen are not recommended as they can worsen the bleeding that leads to the bruise.<\/p>\n<\/span>What is the result of the bruises?<\/span><\/h2>\nBruises usually take about two weeks to go away. They may take longer to disappear from the lower legs.<\/p>\n
<\/span>How can I prevent bruises?<\/span><\/h2>\n\n- Wear protective clothing and equipment, such as shin guards, when playing sports.<\/li>\n
- Keep furniture and other large objects away from walkways.<\/li>\n
- Avoid obstacles, such as cables that can cause tripping.<\/li>\n
- If you are taking blood-thinning medications, check your blood through regular tests and appointments.<\/li>\n
- Make sure your diet has adequate vitamin C, which is found in fresh fruits and vegetables.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"
\u00bfQu\u00e9 es el sangrado? Sangrado, tambi\u00e9n llamado hemorragia, es el t\u00e9rmino utilizado para describir la sangre que escapa de la vasos sanguineos. El sangrado de la piel ocurre si hay…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7512","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7512"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7512\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}