Careful attention to the history is essential to the diagnosis of all the haemorrhagic disorders and one must attempt to define the nature of the bruising in a patient with this complaint. Note: many normal healthy people believe that they have excessive bleeding or bruising. Conversely some people with haemorrhagic disorders and abnormal bleeding histories will not volunteer the information unless asked directly or indeed may consider their bleeding to be normal. Remember that excessive bruising may be a manifestation of a blood vessel disorder rather than a coagulopathy or platelet disorder.

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