ABSTRACT
What is the next most appropriate step in management?
a Factor VII
b Factor IX
c Mefenamic acid
d Desmopressin (DDAVP)
e Platelet transfusion
43 A 12-year-old girl presents to her GP with her mother. She has been experiencing nose bleeds and bleeding of her gums. On further inspection you note evidence of oral candida. Blood investigations demonstrate a haemoglobin of 7 g/dL, a white cell count of 2 × 109/L and a platelet count of 25 × 109/L. What is the most likely diagnosis?
