A 19 year old female develops bleeding from the nose during menstruation. What is she most likely suffering from?
Vicarious menstruation
Henosch Schonlein Purpura
Persistant urachus
Bleeding diathesis
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.