Grade | Severity | Description |
0 | None | No bleeding of any kind |
1 | Minor | Few petechiae (≤100 total) and/or ≤5 small bruises (≤3 cm diameter) No mucosal bleeding |
2 | Mild | Many petechiae (>100 total) and/or >5 large bruises (>3 cm diameter) |
3a | Moderate – Low risk | Blood crusting in nares, painless oral purpura, oral/palatal petechiae, buccal purpura along molars only, mild epistaxis ≤5 minutes |
3b | Moderate – High risk | Epistaxis >5 minutes, hematuria, hematochezia, painful oral purpura, significant menorrhagia |
4 | Severe | Mucosal bleeding or suspected internal hemorrhage (lung, muscle, joint, etc) that requires immediate medical attention or intervention |
5 | Life-threatening/fatal | Documented intracranial hemorrhage or life-threatening or fatal hemorrhage at any site |
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