Medical Emergencies · single question
A 5-year-old child with hemophilia needs a dental extraction (tooth J). What will you do FIRST?
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Correct answer: A. Consult a physician
Consult a physician (A) is the correct first step before any surgical procedure in a hemophiliac patient. Hemophilia is a serious bleeding disorder requiring multidisciplinary management. The hematologist must: (1) determine the type and severity of hemophilia, (2) assess current factor levels, (3) prescribe prophylactic factor replacement or DDAVP before the procedure, and (4) plan post-operative care.
• Never proceed with extraction without medical clearance in a hemophiliac — life-threatening hemorrhage can result.
• For hemophilia A (Factor VIII deficiency): pre-treatment with Factor VIII concentrate or DDAVP (desmopressin).
• For hemophilia B (Factor IX deficiency): Factor IX concentrate.
• The key principle: any invasive dental procedure in a coagulopathy patient requires physician consultation and a clear hemostasis plan.
• Never proceed with extraction without medical clearance in a hemophiliac — life-threatening hemorrhage can result.
• For hemophilia A (Factor VIII deficiency): pre-treatment with Factor VIII concentrate or DDAVP (desmopressin).
• For hemophilia B (Factor IX deficiency): Factor IX concentrate.
• The key principle: any invasive dental procedure in a coagulopathy patient requires physician consultation and a clear hemostasis plan.
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