Q:

A 30 year old lady has epistaxis for 30 mins. Her Hgb is normal, MCV normal, WBC normal, PT/APTT/Bleeding time are normal. Where is the defect?

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A 30 year old lady has epistaxis for 30 mins. Her Hgb is normal, MCV normal, WBC normal, PT/APTT/Bleeding time are normal. Where is the defect?


  1. Plts
  2. Coagulation factor
  3. Sepsis
  4. Anatomical
  5. RBC

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The key is D. Anatomical. [bleeding time, coagulation profile, Hb%, cell count and parameters are normal. So thelikely cause of bleeding here is anatomical defect].

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