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.