What causes severe right-sided tibia pain and easy bruising?
Patient: My four year old has complained of severe pain located in his right tibia. He was first brought to his Pediatrician when he was two. Xrays showed nothing and again at age 3. Conclusion was growing pains. The pain will wake him from his sleep mostly, but will also occur randomly in the day just not as often as it does at night. Occurs 2-3 times a week for the past 2 1/2 years. Sometimes he will limp but is not an occurring or daily symptom. He will bruise easily. He plays rough, too. He has an history of headaches, 1 migraine, EEG was clear. Other symptoms related/unrelated = irritability, small appetite, frequent nose bleeds. Doctor: Hello,It seems like some clotting defect early platelets count is mandatory. Level of vitamin K vitamin factor nine and eight should be done. Protect children from falls, tell us reports, we will see it further. Also, tell us about the family history.Hope I have answered your query. Let me know if I can assist you further. Regards,  Dr. Hina Javed