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Case 1: An infant with bloody diarrhea
Case 2: Heavy vaginal bleeding in an adolescent
AU Hosanna | VJ Davis | J Friedman
CASE 1 PRESENTATION: AN INFANT WITH BLOODY DIARRHEA
A five-week-old infant presented to hospital with a twoweek
history of worsening bloody diarrhea. The infant had
been breastfed for two weeks, then was switched to a cow's
milk-based formula because of 'decreasing maternal milk
supply'. When the bloody diarrhea started he was switched
to a soy-based formula, but had no improvement of symptoms.
He had gained only 130 g since birth. There was no
history of fever, vomiting or exposure to sick contacts.
There was no history of travel.
CASE 2 PRESENTATION: HEAVY VAGINAL BLEEDING IN AN ADOLESCENT
A 14-year-old girl was referred for assessment of heavy
menses. Menses commenced at the age of 12 years and were
unremarkable until the past six months when she noticed
an increased amount and duration of bleeding. The menses
were regular but had increased from four to seven days of
bleeding and she was now using up to 10 pads/day for the
first three days. She denied any sexual activity.
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