The evaluation of patients with mild to moderate bleeding disorder can be frustratingly unproductive. Patients frequently present with bothersome symptoms, such as recurrent epistaxis, easy bruising or menorrhagia, undergo a battery of investigations, only to reveal normal results. Such patients also may demonstrate a family history or have had abnormal bleeding after surgical procedures. Comprehensive laboratory-based bleeding evaluations of patients with suspected bleeding disorders are inconvenient for the patient, are expensive in some healthcare settings, may be difficult to access, and are extraordinarily complex to explain to patients.
