ASPD Quiz Case 8
* Required
This 9 years old boy presented with bilateral knee pain and swelling for 2 months, associated with bruises and high fever for 1 week. He has underlying autism spectrum disorder. On examination, there is gingival hypertrophy and gum bleeding. There are multiple bruises and petechiae with non pitting oedema on both lower limb.
1. What further history would you like to obtain?
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1 point
Medication History
Diet History
Family History
Social History
Immunisation History
2. What is your most likely diagnosis?
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1 point
Henoch-Schonlein purpura
Immune thrombocytopenia
Scurvy
Hemophilia
Vitamin K deficiency
3. What investigation would you perform?
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1 point
Full blood count
Coagulation profile
Vitamin C level
Liver function test
Ultrasound of the knee joints
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