A 7 Year old boy presented with refractory epistaxis that has been continuous despite adequate pressure for the last 6 hours. Parents also gave history of similar episodes in his older brother.
Hematologic values were:
--RBC count 5 million
--Hemoglobin 12 gram/dl
--Hematocrit 45%
--Platelet count 230 thousands
--PT, PTT within normal
--Response to Ristocetin was normal
--Blood film normal
Which of the following is the best step in the management?
A- Platelet transfusion
B- Eptifibatide
C- Blood transfusion
D- Local fibrinolytics
E- Observation
Hematologic values were:
--RBC count 5 million
--Hemoglobin 12 gram/dl
--Hematocrit 45%
--Platelet count 230 thousands
--PT, PTT within normal
--Response to Ristocetin was normal
--Blood film normal
Which of the following is the best step in the management?
A- Platelet transfusion
B- Eptifibatide
C- Blood transfusion
D- Local fibrinolytics
E- Observation