DDx
Diagnostic Considerations
Recurrent epistaxis in children could be caused by a foreign body, especially if the nosebleeds are accompanied by symptoms of unilateral nasal congestion and purulent rhinorrhea. Delayed epistaxis in a trauma patient may signal the presence of a traumatic aneurysm.
Other conditions to be considered include the following:
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Chemical irritants
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Hepatic failure
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Leukemia
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Thrombocytopenia
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Heparin toxicity
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Ticlopidine toxicity
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Dipyridamole toxicity
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Trauma
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Tumor
Differential Diagnoses
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Disseminated Intravascular Coagulation in Emergency Medicine
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Pediatric Osler-Weber-Rendu Syndrome
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Type A Hemophilia
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Type B Hemophilia
Media Gallery
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Posterior epistaxis from the left sphenopalatine artery.
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Resolved posterior epistaxis after endoscopic cauterization of the left sphenopalatine artery.
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Nasal speculum.
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Vaseline gauze packing.
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Expandable (Merocel) packing (dry).
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Nasal vascular anatomy
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- Overview
- Presentation
- DDx
- Workup
- Treatment
- Approach Considerations
- Manual Hemostasis
- Humidification and Moisturization
- Cauterization
- Nasal Packing
- Arterial Ligation
- Embolization
- Palliative Therapy for Hereditary Hemorrhagic Telangiectasia
- Complications of Treatment
- Dietary Measures
- Activity Restriction
- Prevention of Epistaxis
- Consultations
- Long-Term Monitoring
- Show All
- Guidelines
- Medication
- Questions & Answers
- Media Gallery
- References