SymptomScore
–101234
EpistaxisNo or trivial (< 5 episodes per year)> 5 episodes per year or lasts > 10 minutesConsultation only*Packing, cauterization, or antifibrinolyticBlood transfusion, replacement therapy, or desmopressin (DDAVP)
Cutaneous (bruises, petechia, subcutaneous hematoma)No or trivial (< 1 cm)> 1 cm and no traumaConsultation only*
Bleeding minor woundsNo or trivial (< 5 episodes per year)> 5 episodes per year or lasts > 5 minutesConsultation only*Surgical hemostasisBlood transfusion, replacement therapy, or desmopressin
Oral cavity (bleeding gums [spontaneous or with brushing], bites to lip and tongue, tooth eruption)NoBleeding noted at least onceConsultation only*Surgical hemostasis or antifibrinolyticBlood transfusion, replacement therapy, or desmopressin
Gastrointestinal bleeding (hematemesis, hematochezia, melena)NoAssociated with angiodysplasia, hemorrhoids, portal hypertension, ulcerSpontaneousSurgical hemostasis, blood transfusion, replacement therapy, desmopressin, or antifibrinolytic
Tooth extractionNo bleeding in at least two extractionsNone performed or no bleed in one extractionBleeding noted in < 25% of all proceduresBleeding noted in > 25% of all procedures, but no interventionResuturing or packingBlood transfusion, replacement therapy, or desmopressin
SurgeryNo bleeding in at least two surgeriesNone performed or no bleeding in one surgeryBleeding noted in < 25% of all proceduresBleeding noted in > 25% of all procedures, but no interventionSurgical hemostasis or antifibrinolyticBlood transfusion, replacement therapy, or desmopressin
MenorrhagiaNoConsultation only*Antifibrinolytics, pill useDilatation and curettage, iron therapyBlood transfusion, replacement therapy, desmopressin, or hysterectomy
Postpartum hemorrhageNo bleeding in at least two deliveriesNo deliveries or no bleeding in one deliveryConsultation only*Dilatation and curettage, iron therapy, antifibrinolyticsBlood transfusion, replacement therapy, or desmopressinHysterectomy
Muscle hematomasNeverPost-trauma, no therapySpontaneous, no therapySpontaneous or traumatic, requiring desmopressin or replacement therapySpontaneous or traumatic, requiring surgical intervention or blood transfusion
HemarthrosisNeverPost-trauma, no therapySpontaneous, no therapySpontaneous or traumatic, requiring desmopressin or replacement therapySpontaneous or traumatic, requiring surgical intervention or blood transfusion
Central nervous system bleedingNeverSubdural, any interventionIntracerebral, any intervention