Key result
Multidisciplinary consultation successfully identified the cause of repeated oral bleeding in an 86-year-old woman on anticoagulants as the use of a spoon at mealtimes and possible wound scratching.
Why the study?
Identifying the causes of accidental oral bleeding can be difficult in patients with dementia, prompting the report to highlight the effectiveness of multidisciplinary consultation.
Case Report (n=1)
Multidisciplinary consultation is effective in identifying obscure causes of accidental oral bleeding in dementia patients taking anticoagulants.
Answers are grounded in this paper and cite their sources.
Recurrent oral bleeding in anticoagulated dementia patients warrants evaluation for environmental causes; this case leaves open broader application of multidisciplinary consultation.
INTRODUCTION: Identifying the causes of accidental oral bleeding can be difficult in patients with dementia. The aim of this study was to highlight the effectiveness of multidisciplinary consultation, which proved extremely useful in investigating the cause of bleeding in this case. CASE PRESENTATION: An 86-year-old woman on anticoagulants who had been admitted to a geriatric facility experienced repeated oral bleeding of unknown cause, initially attributed to periodontitis. CONCLUSION: Along with anticoagulant use, a multidisciplinary consultation attributed the bleeding to the use of a spoon at mealtimes and possible scratching at the wound by the patient with her fingers.
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Yamada et al. (2022) conducted a case report in Accidental oral bleeding in dementia (n=1). Multidisciplinary consultation was evaluated on Identification of the cause of bleeding. Multidisciplinary consultation successfully identified the cause of repeated oral bleeding in an 86-year-old woman on anticoagulants as the use of a spoon at mealtimes and possible wound scratching.
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