Medical Emergencies · single question

A patient with Von Willebrand disease needs dental surgery. Where should they be referred?

  1. Dermatologist
  2. Hematologist
  3. Endocrinologist
  4. Cardiologist
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Correct answer: B. Hematologist

  • A. Incorrect. A dermatologist manages skin conditions — not relevant to vWD management.
  • B. Correct. Von Willebrand disease is a BLEEDING DISORDER requiring management by a HEMATOLOGIST before invasive dental procedures. The hematologist will evaluate the type and severity of vWD and provide guidance on perioperative management (e.g., DDAVP administration, factor replacement, tranexamic acid).
  • C. Incorrect. An endocrinologist manages hormonal/metabolic diseases — not relevant to vWD.
  • D. Incorrect. A cardiologist manages heart and vascular diseases — not bleeding disorders like vWD.

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