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Question |
13yrs f/ch first issue of 2o con marriagecame with c/c of epitaxis--recurrunt since one yr of life with multiple ecchymotic patch over upper and lower extremity noticed since 7 yr of life.no h/o haematuria/jt swelling/fever with rash/other system affection. no significant birth/family/developmental history o/e-- short stature vitals stable ecchymotic patches over extermities refractive error-- hypermetropic{+13d} s/e--spleen 3cm firm inv--hb-6.6,tlc-6,600;ps-hypo micro pt-{inr}1.32 aptt-normal ??diagnosis
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Answer |
What is the platelet count? Rule out a bleeding disorder, von Willebrands disease and Factor XIII deficiency.
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