SOLVED3094

A 7-year-old presents with a 6 month history of recurrent epistaxis. Epistaxis occurs from both nares occur every 2 to 3 weeks, and each episode lasts 20 minutes. On physical examination, several 2 cm ecchymoses are noted on her lower extremities, at which point the parent states that the child does easily bruise. Initial laboratory evaluation includes a normal complete blood cell count, platelet count, 300,000/μL), partial thromboplastin time (PTT) of 25 seconds; and a prothrombin time (PT) of 12 seconds, with an international normalized ratio of 1.0. What conditions should be included in the differential list for a child presenting with bruising and nosebleeds? What other labs should be ordered for this child?
SCIENCE
HEALTH SCIENCE
NURSING

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