Spontaneous Hemorrhage

Spontaneous gingival hemorrhage is not uncommon. A history of recent dental therapy such as periodontal scaling or curettage is important because resulting hemorrhage after scaling is easily controlled with peroxide mouth rinses or direct gingival pressure A careful medical history must be obtained because systemic diseases such as clotting factor deficiencies, leukemia, and end-stage liver disease that result in a hypocoagulable state may first manifest as spontaneous gingival hemorrhage. Overanticoagulation with oral agents may present as spontaneous gingival bleeding. The need for laboratory evaluation depends on a careful history and physical examination. Treatment depends on the specific cause of bleeding in the event that local measures are unsuccessful.

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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