Diagnostic Dilemma


A 4 year old child presented with seizures {GTC – clenching of teeth} 1 day back and hematemesis {coffee coloured} next day morning. On examination, there was no abnormality detected. Investigations showed normal platelet count and prothrombin time {PT} and partial thromboplastin time {PTT}.

What is the cause of hematemesis_?
Expert Opinion :
Thanks. We did check the patient for a tongue bite and there were bite marks on the tongue. Thus it was likely to be swallowed blood.
Answer Discussion :
Sonal Agrawal
Swallowed blood due to oral injury
12 years ago
soad awadca
swallowed blood from biting tongue during seizures
12 years ago

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