Q:

A 2-year-old girl presented with rapid deep breathing,hypoglycemia,recurrent epistaxis

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A 2-year-old girl presented with rapid deep breathing,hypoglycemia,recurrent epistaxis, easy bruising, failure to thrive,fat cheek,and hepatomegaly. Of the following,the MOST likely cause of bleeding tendency is


  1. vascular disorders
  2. clotting factors deficiency
  3. impaired hepatic function
  4. depressed platelets count
  5. impaired platelet aggregation and adhesion

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(E). ln type I GSD (von Gierke disease), easy bruising and epistaxis are common and are associated with a prolonged bleeding time as a result of impaired platelet aggregation and adhesion

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