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A 47-year-old female asked about a 72-year-old male:

72yrs, has ckd, gfr32, regulated hypertension and diabethis2. erythrocytes 3.4tpt/l (normal 4.5-5.9), hemoglobin 11g/dl (normal 14-17), hematocrit 31% (normal 40-52). he got a sudden bruise 2cm on upper leg. whats going on with his blood, dangerous?

1 doctor answer1 doctor weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
Bruising: His anemia is common with advanced kidney failure. Was his platelet count normal? Even if ok, easy bruising and increased capillary fragility are also common in chronic kidney failure leading to spontaneous appearance of ecchymosis and purpura in the skin- especially in the forearms and backs of the hand where skin is thin. Bleeding from gums, nose, into urine would be more concerning.
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Last updated Jul 27, 2019

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