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You are on a medical mission providing obstetric anesthesia in a developing
You are on a medical mission providing obstetric anesthesia in a developing
country. The nursery calls you to help evaluate a neonate with excessive bleeding
country. The nursery calls you to help evaluate a neonate with excessive bleeding
from his circumcision site 4 days after birth. Of further examination, you note
from his umbilicus 4 days after birth. Of further examination, you note
that the child also has evidence of nosebleeds. Which of the following is the most
that the child also has evidence of nosebleeds. Which of the following is the most
likely diagnosis?
likely diagnosis?