A 19 year old female develops bleeding from the nose during menstruation. What is she most likely suffering from?: (A) Vicarious menstruation, (B) Henosch Schonlein Purpura, (C) Persistant urachus, (D) Bleeding diathesis
Answer is A. Patient in the question is most likely suffering from vicarious menstruation. It is a condition which is occasionally found in adolescent girls in which they develop monthly epistaxis due to the vascular congestion of nasal mucosa, in concordance with menses. Ref: Textbook of Pediatric Emergency Medicine edited by Gary R. Fleisher page 975.