Hemorrhagic syndromes in the practice of a general practitioner (lecture for practicing physicians, p. 1)

Hemorrhagic syndrome occurs as a result of vascular wall damage, disturbance of the structure, function and number of platelets, coagulation hemostasis disorders. For diagnosis, not only laboratory parameters are important, but also complete information about the patient’s condition, history, comorbidity, heredity, ongoing treatment. The use of standardized tools such as ISTH-SSC BAT scale, bleeding risk scales help in diagnosis and determination of patient management tactics. The causes of hemorrhagic syndrome of hereditary genesis are more often thrombocytopathies, hemophilia, Willebrand’s disease, telangiectasia; acquired - secondary thrombocytopenia and thrombocytopathies, DIC, prothrombin complex factor deficiency, hemorrhagic vasculitis, as well as drugs (antithrombotic, cytostatics, antibiotics and others). The clinician has an important role in diagnosis and treatment, which requires knowledge of modern guidelines, clinical recommendations, instructions, standards and other regulatory documents.