Epistaxis Differential Diagnoses

Updated: Jan 15, 2017
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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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:

  • Chemical irritants
  • Hepatic failure
  • Leukemia
  • Thrombocytopenia
  • Heparin toxicity
  • Ticlopidine toxicity
  • Dipyridamole toxicity
  • Trauma
  • Tumor

Differential Diagnoses