Blood & Lymphoreticular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 2 year old boy has presented with continued mucocutaneous bleeding following a minor injury, with episodes of prolonged bleeding in the past. This points in the direction of a hemostatic abnormality.\n\nHe should immediately be assessed for hemodynamic stability and a thorough history obtained to narrow down the list of differentials, which range from acquired to hereditary forms of disease, as well as defects in the primary and\/or secondary hemostatic pathways.\n\nWhen considering this clinical scenario, an acquired disease is less likely, as this child has had repeated episodes of bleeding in the past.\n\nThe bleeding pattern seen may suggest a defect of primary hemostasis; however the absence of petechiae and purpura are not in favor of a"}]}

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