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Epistaxis: Ms. Shital Bhutkar
Epistaxis: Ms. Shital Bhutkar
EPISTAXIS
Presented By –
Ms. Shital Bhutkar
Internship
Guided By
Dr. Bhapkar Sir
Dr. Rizwan Sir
Haemophilia
Hypertension
Leukemia
Liver disease (e.g., cirrhosis,Factor defeciency)
Medications e.g., aspirin, anticoagulants, nonsteroidal anti-
inflammatory drugs
Platelet dysfunction & Thrombocytopenia
Others
Diffuse oozing, multiple bleeding sites, or recurrent bleeding
may indicate a systemic process
Idiopathic
Vastmajority of cases come under this
category
Bleeding patterns
Septum littles area
Above the middle turb ethmoidal vessels
Below the middle turb sphenopalatine A
Posterior woodruffs area
Generalized bleeding disorder
Site and age relationship
Anterior
1/3 bleeds in adults
Commonest from littles area
Posterior 2/3 bleeds in old age
At the juntion of floor and lateral wall
Examination
Every attempt should be made to locate the
source of bleeding that does not respond to
simple compression and nasal plugging.
The examination should be performed in a well-
lighted room, with the patient seated and
clothing protected by a sheet or gown.
The doctor should wear gloves and other
appropriate protective equipment (e.g., surgical
mask, safety glasses).
A headlamp /head mirror and a nasal speculum
should be used for optimal visualization
Examination contd
Heavy bleeding.