Case 92 – part B

Thanks for your help with case 1 the baby is improving. The following morning you as the Haematology registrar have been referred a 5 year old girl who presented due to parental concern with easy bruising. The bruising was noted since she was about one but become more evident since she started school. She has small bruises of varied age over forearm and shins. She has no past medical history of note. She has a maternal grandma who “bruises easily”

What history would you take?

What would you look for in the examination?

What investigations would you consider?

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