History

11 year old male.

Presented in emergency room with recent onset of easy bruising, bleeding gums, and persistent epistaxis.

Previously in excellent health. Mother stated he was "never sick before in his entire life."

No history of recent viral infection, and no family history of bleeding disorders.

Physical Exam

Bleeding from the left nostril. Numerous petechiae and purpura; mostly on the extremities.

No organomegaly.

CBC & Diff