Pathology: ecchymosis

Why should the liver patient have ecchymosis?  There are several reasons.  Here is a list: thrombocytopenia, synthetic dysfunction (high INR), low fibrinogen levels, on prednisone for autoimmune hepatitis, on warfarin for portal vein thrombosis, on aspirin for vascular stents (post-transplant anastamotic stenoses), on plavix for coronary stents (NASH patients die of cardiovascular disease), older age (from excellent liver care over the years). 

When the ecchymosis is limited to hands and forearms, as is typical, there is not much to be concerned with.  When it is noted in the thighs, particularly with bilateral symmetry, beware.  The lower extremities can hold an enormous volume of blood, and you may want to check a CBC.

Advertisements
This entry was posted in Pathology. Bookmark the permalink.

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s