A 25-year-old woman at 28 weeks of gestation attends the GP. She reports nose bleeds (epistaxis) occurring 2-3 times per week for the past month. Each...

Question

A 25-year-old woman at 28 weeks of gestation attends the GP. She reports nose bleeds (epistaxis) occurring 2-3 times per week for the past month. Each episode lasts 5-10 minutes and stops with pressure. She has no bleeding from other sites and her platelet count is normal. What is the most likely cause?

Accepted Answer

Physiological - increased nasal mucosal vascularity and congestion due to pregnancy hormones

Answer

Von Willebrand disease

Answer

Thrombocytopenia of pregnancy

Answer

Hypertension

Answer

Coagulation factor deficiency

uk-drcog MCQ (SBA): Pregnancy-Related Epistaxis