Table 6.

The bleeding score for von Willebrand disease.46,47 

SymptomsAssigned ScoreNumber Events
Epistaxis no or trivial 
 present 
 packing/cauterization 
 transfusion/replacement 
Cutaneous symptoms no or trivial 
 petechiae/bruises 
 hematomas 
 medical consultation 
Minor wounds no or trivial 
 present (1–5 per year) 
 medical attention 
 surgical/blood transfusion 
Oral cavity bleeding no or trivial 
 present 
 medical attention 
 surgical/blood transfusion 
Gastrointestinal bleeding no or trivial 
 present 
 medical attention 
 surgical/blood transfusion 
Postpartum hemorrhage no or trivial 
 present/medical attention/iron therapy 
 blood transfusion/ D&C/ suturing 
 hysterectomy 
Muscle hematomas or hemarthrosis no or trivial 
 present 
 medical attention 
 transfusion/intervention/replacement rx 
Tooth extraction (most severe episode) no or trivial 
 present 
 suturing/ packing 
 transfusion 
Surgery (most severe episode) no or trivial 
 present 
 suturing/resurgery 
 transfusion 
Menorrhagia no or trivial 
 present 
 consultation/pill use/ iron therapy 
 transfusion/ hysterectomy/D&C/replacement rx 
SymptomsAssigned ScoreNumber Events
Epistaxis no or trivial 
 present 
 packing/cauterization 
 transfusion/replacement 
Cutaneous symptoms no or trivial 
 petechiae/bruises 
 hematomas 
 medical consultation 
Minor wounds no or trivial 
 present (1–5 per year) 
 medical attention 
 surgical/blood transfusion 
Oral cavity bleeding no or trivial 
 present 
 medical attention 
 surgical/blood transfusion 
Gastrointestinal bleeding no or trivial 
 present 
 medical attention 
 surgical/blood transfusion 
Postpartum hemorrhage no or trivial 
 present/medical attention/iron therapy 
 blood transfusion/ D&C/ suturing 
 hysterectomy 
Muscle hematomas or hemarthrosis no or trivial 
 present 
 medical attention 
 transfusion/intervention/replacement rx 
Tooth extraction (most severe episode) no or trivial 
 present 
 suturing/ packing 
 transfusion 
Surgery (most severe episode) no or trivial 
 present 
 suturing/resurgery 
 transfusion 
Menorrhagia no or trivial 
 present 
 consultation/pill use/ iron therapy 
 transfusion/ hysterectomy/D&C/replacement rx 
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