Epistaxis Flashcards
1
Q
What is epistaxis?
A
Nosebleeds
2
Q
Where does the bleeding originate from?
A
Kiesselback’s plexus which is located in Little’s area - an area of the nasal mucosa which has a lot of vessels
3
Q
What triggers nosebleeds?
A
- Nose picking
- Colds
- Sinusitis
- Trauma
- Coagulation disorders
- Anticoagulant medication
- Snorting cocaine
4
Q
How does epistaxis present?
A
Unilateral bleeding
Bilateral bleeding would suggest bleeding posterior in the nose -> greater risk of aspiration
5
Q
How is epistaxis managed?
A
- Usually self resolves
- Recurrent may need investigation for clotting disorders
- Patients should be advised to sit up and tilt head forwards and squeeze soft part of nostrils for 10-15 minutes
6
Q
How is epistaxis managed in hospital setting if not settling?
A
- Nasal packing with nasal tampons/inflatable packs
- Nasal cautery using silver nitrate sticks
7
Q
What can be prescribed after a nosebleed to reduce crusting/inflammation/infection?
A
Naseptin nasal cream
