History of heavy menstrual bleeding

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Reference no: EM133830314

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A 26-year-old female presents for a routine annual examination. She reports a history of heavy menstrual bleeding since menarche and states her mother had similar symptoms. She reports episodes of epistaxis a few times each month and states she bruises easily. Physical examination is unremarkable. Labs include: Hgb 7.9 g/dL Hct 23.9% MCV 69 fL Platelet count 230,000/ microliter PT 12 seconds (normal) PTT 30 seconds (normal) What is the most appropriate next test to order? Factor IX level Ristocetin cofactor activity Mixing study D-dimer.

Reference no: EM133830314

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