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best of PUZZLER
Not just another nosebleed

Elizabeth Yen, MD; Hanh Keyburn, DO; Dalya L Chefitz, MD; Lakshmi P Uppaluri, MD, MBBS; Jon M Burnham, MD, MSCE; Lakshmi N Moorthy, MD, MS

THE CASE

A 14-year-old Hispanic male comes to the emergency department for daily nosebleeds and recurrent fevers.

WHAT'S CAUSING THE EPISTAXIS?


IMAGE CREDIT/AUTHOR SUPPLIED

Stumped by a bleeding umbilicus
Stacy B Pierson, MD; Parth Mehta, MD, MPH

THE CASE

A 10-day-old white male is evaluated for unremitting umbilical stump bleeding despite multiple interventions.

WHY WON'T THE BLEEDING STOP?


IMAGE CREDIT/GETTY IMAGES/STOCKPHOTO/JIRASAK PAKDEETO

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