NIIH Q

Q1. Epistaxis ?

None/trivial

>5/ Year or >10 minutes

Consultation only

Packing/Cauterisation/Antifibrinolytic agents

Blood Transfusion or replacement agents [- haemostatic components/rVIIa] or Desmopressin

Q2. Cutaneous Bruising ?

No/trivial

5 or more [>1cm] in exposed areas

Consultation only

Extensive

Spontaneous requiring Blood Transfusion

Q3. Bleeding from minor wounds ?

No/trivial

>5/ Year or >10 minutes

Consultation only

Surgical haemostasis

Blood Transfusion or replacement agents or Desmopressin

Q4. Oral Cavity Bleeding ?

No/trivial

>5/ Year or >10 minutes

Consultation only

Surgical haemostasis or Antifibrinolytic agent

Blood Transfusion or replacement agents or Desmopressin

Q5. GI Bleeding ?

No/trivial

Present - not associated with portal hypertension, ulcer, haemorrhoids, angiodysplasia

Consultation only

Surgical haemostasis or Antifibrinolytic agent

Blood Transfusion or replacement agents or Desmopressin

Q6. Haematuria ?

No/trivial

Present - macroscopic

Consultation only

Surgical haemostasis, iron therapy

Blood Transfusion or replacement agents or Desmopressin

Q7. Dental Extractions ?

No/trivial or none done

Reported in ≤ 25% of procedures, no interventions

Reported in > 25% of procedures, no interventions

Surgical haemostasis or Antifibrinolytic agent

Blood Transfusion or replacement agents or Desmopressin

Q8. Surgery ?

No/trivial or none done

Reported in ≤ 25% of procedures, no interventions

Reported in > 25% of procedures, no interventions

Surgical haemostasis or Antifibrinolytic agent

Blood Transfusion or replacement agents or Desmopressin

Q9. Menorrhagia ?

No/trivial

Consultation only or Changing pads more frequently than every 2 hrs or lot sand flooding or PBAC Score >100

Time of work/school >2X year or Requiring Antifibrinolytic agents or Hormonal therapy or iron therapy

Requiring combined treatment with Antifibrinolytic agents and hormonal therapy or Present since menarche and >12 months

Acute menorrhagia requiring hospital admission and emergency treatment or Blood Transfusion or replacement agents or Desmopressin or Requiring D & C or endometrial ablation or hysterectomy

Q10. Post-partum Haemorrhage ?

No/trivial or no deliveries

Consultation only or Use of syntocin or Lochia > 6 weeks

Iron therapy or Antifibrinolytic

Requiring Blood Transfusion, Replacement agents, Desmopressin or Requiring examination under anaesthesia and/or the use of uterine balloon package to tamponade the uterus

Any surgical procedure requiring critical care or surgical intervention e.g. hysterectomy, iliac artery ligation, uterine artery embolisation, uterine artery bracing.

Q11. Muscle Haematomas ?

Never

Post-trauma, no therapy

Spontaneous no therapy

Spontaneous or traumatic requiring Desmopressin or replacement therapy

Spontaneous or traumatic requiring surgical intervention or blood transfusion

Q12. Haemarthrosis ?

Never

Post-trauma, no therapy

Spontaneous no therapy

Spontaneous or traumatic requiring Desmopressin or replacement therapy

Spontaneous or traumatic requiring surgical intervention or blood transfusion

Q13. CNS Bleeding ?

Never

Subdural, any intervention

Intracerebral, any intervention

Q14. Other Bleeding Problems ?

No/trivial

Present

Consultation only

Surgical haemostasis or Antifibrinolytic agent

Blood Transfusion or replacement agents or Desmopressin