Bleeding from injured nasal mucosa overlying a blood vessel
Characterized as either anterior or posterior
Affected persons usually do not seek medical attention, especially if bleeding...
Determine timing, frequency, laterality, and severity of nosebleed.
Quantify amount of blood loss.
Presence of nasal obstruction: may indicate a neoplasm, especially with recurrent blee...
Anterior bleed:
Minor anterior nosebleeds may resolve without intervention prior to clinical evaluation or with initial tamponade.
Pretreatment/initial tamponade:
The patient should blow his or...
Once epistaxis is controlled, conservative measures may prevent recurrent bleeding owing to local factors.
Refrain from activities that may stimulate bleeding:
Blowing or picking nose
Heavy ...
Kucik CJ, Clenney T. Management of epistaxis. Am Fam Physician. 2005;71(2):305–311.
Schlosser RJ. Clinical practice. Epistaxis. N Engl J Med. 2009;360(8):784–789.
Anterior nosebleeds often are controlled with tamponade, topical medications, and oral ice packs.
Athletes with an anterior bleed (80–90% of cases) without significant facial trauma, co...
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