Due to chronic epistaxis, a 9-year-old girl is brought to the emergency room. The youngster claims that just before the bleeding began, she picked her nose. After the epistaxis remained for 20 minutes despite persistent compression of the nasal alae, her parents made the decision to take her to the emergency room. The patient frequently experiences longer than 10-minute nosebleeds. Her family history is significant for a grandfather who had an unspecified bleeding disorder. Laboratory tests are requested due to the history of protracted, recurring nosebleeds, and the results are as follows: Which of the following is the most likely diagnosis?

Question

Due to chronic epistaxis, a 9-year-old girl is brought to the emergency room. The youngster claims that just before the bleeding began, she picked her nose. After the epistaxis remained for 20 minutes despite persistent compression of the nasal alae, her parents made the decision to take her to the emergency room. The patient frequently experiences longer than 10-minute nosebleeds. Her family history is significant for a grandfather who had an unspecified bleeding disorder. Laboratory tests are requested due to the history of protracted, recurring nosebleeds, and the results are as follows:  Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: The most prevalent hereditary bleeding problem is von Willebrand disease. Variable penetrance and an autosomal dominant inheritance pattern characterize it. Lack of von Willebrand factor results in anomalies in the coagulation pathway and compromised platelet function (longer bleeding time) (prolonged partial thromboplastin time)

Due to Chronic Epistaxis, a 9-Year-Old Girl Is Brought to the Emergency