Article Sidebar
Article Details
Copyright remains in the Author’s name. The work is licensed under a Creative Commons Attribution - Noncommercial Works License. Authors are required to complete and sign an Author Agreement form that outlines Author and Publisher rights and terms of publication. The Agreement form should be uploaded along with other submissions files and any submission will be considered incomplete without it [forthcoming].
Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement. The SAMJ does not hold itself responsible for statements made by the authors.
Previously published images
If an image/figure has been previously published, permission to reproduce or alter it must be obtained by the authors from the original publisher and the figure legend must give full credit to the original source. This credit should be accompanied by a letter indicating that permission to reproduce the image has been granted to the author/s. This letter should be uploaded as a supplementary file during submission.
Main Article Content
The problem of the bleeding state
Abstract
The problem of the patient who bleeds excessively or alleges he bleeds abnormally, is a familiar one. In some cases the bleeding state may be obvious, since purpura, easy bruising or excessive haemorrhage direct one's attention to it. Sometimes when there is a local lesion it may be difficult to know whether to ascribe the bleeding to local or general causes. A patient, for instance, who presents with epistaxis, may have a local lesion in the nose or a generalized bleeding disease, or both these conditions. Patients with haematuria, haematemesis or melaena may present similar problems.
