Vital signs Significant blood loss may results in increased

tachycardia and hypotension.

2. Skin and mucous membranes. Examine for petechiae, purpura, ecchymoses, hemangiomas, oozing from venipuncture sites, and jaundice. Examine mucous membranes for gingival oozing of blood, mucosal purpura, or oropharyngeal petechiae.

3. Abdomen. Examine for hepatosplenomegaly.

4. Musculoskeletal system. Examine muscles for hematoma and atrophy; joints for decreased range of motion and degeneration.

5. Neurologic exam. Assess for signs of CNS bleeding.

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