ASPD Quiz Case 8
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?
2. What is your most likely diagnosis?
Vitamin K deficiency
3. What investigation would you perform?
Full blood count
Vitamin C level
Liver function test
Ultrasound of the knee joints
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