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- History - 11 year old male - Presented in emergency room with recent onset of easy bruising,
bleeding gums, and persistent epistaxis (nosebleeds) - No history of recent viral infection, and no
family history of bleeding disorders 2 - Answer 2 - Further Lab Studies - Question 3 - Bone
marrow biopsy - What is the most likely diagnosis? - Aspirate: - Erythrocyte and granulocyte
maturation within normal limits Megakaryocytes appear normal in number and morphology -
Coagulation - PT, PTT and TT normal

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