Persistent Oozing From Umbilical in Medicine / Internal Medicine — Case | Hematology | SMLE Q#18721

SMLE Question #18721

Medicine / Internal Medicine Hematology

Objective: OBJ-HEMO-COAG-UMBILICAL

Last updated: March 2026
A 6-day-old boy is brought to the emergency department for persistent oozing from the umbilical stump since birth. He received intramuscular vitamin K at delivery. There is no petechiae, epistaxis, or oral mucosal bleeding, and pregnancy and delivery were uncomplicated. Screening coagulation studies show normal platelet count, PT, aPTT, and bleeding time. Which coagulation factor deficiency best explains this presentation?

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