Epistaxis history and symptoms: Difference between revisions
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{{Epistaxis}} | {{Epistaxis}} | ||
{{CMG}} {{AE}} [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] [mailto:LJagminas@mhri.org] , [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]] | |||
==Overview== | ==Overview== | ||
The hallmark of [[epistaxis]] is [[nosebleed]]. History of [[nose-picking]], [[facial trauma]], [[hypertension]] and [[coagulopathy]] may be found. The less common symptoms of [[epistaxis]] include [[fainting]], [[dizziness]], and [[hypovolemic shock]]. | |||
*Allergy symptoms | ==History== | ||
*Bleeding in other areas | Patients with [[epistaxis]] may have a positive history of:<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref> | ||
* | *[[Trauma]] | ||
* | *[[Allergy]] symptoms | ||
*History of nasal irritation | *[[Bleeding]] in other areas | ||
*[[Common cold]] | |||
*[[Foreign bodies]] | |||
*[[Nose-picking]] | |||
*[[Neoplasia]] | |||
*[[Coagulopathy]] | |||
*History of nasal irritation | |||
*Previous epistaxis | *Previous epistaxis | ||
*[[Rhinorrhea]] | *[[Rhinorrhea]] | ||
*Sinus/tooth pain | *Sinus/tooth pain | ||
</br> | |||
* Some factors may worsen the nose bleeding or act as triggers such as: nose blowing habit, excessive [[coughing]], which may happen in [[chronic obstructive pulmonary disease]], straining, as happens in case of[[constipation]] and [[benign prostatic hyperplasia]], and lifting heavy objects.<ref name="pmid29345234">{{cite journal| author=Beck R, Sorge M, Schneider A, Dietz A| title=Current Approaches to Epistaxis Treatment in Primary and Secondary Care. | journal=Dtsch Arztebl Int | year= 2018 | volume= 115 | issue= 1-02 | pages= 12-22 | pmid=29345234 | doi=10.3238/arztebl.2018.0012 | pmc=5778404 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29345234 }} </ref> | |||
*Refractory nosebleed or profuse bleeding may be suggestive of posterior epistaxis. | |||
==Symptoms== | |||
*The hallmark of [[epistaxis]] is nose bleeding. | |||
==Less Common Symptoms== | |||
*Heavy epistaxis can cause [[hypovolemia]]. As a result, [[dizziness]] and [[fainting]] can be symptoms of [[epistaxis]].<ref name="Diamond2014">{{cite journal|last1=Diamond|first1=Linda|title=Managing epistaxis|journal=Journal of the American Academy of Physician Assistants|volume=27|issue=11|year=2014|pages=35–39|issn=1547-1896|doi=10.1097/01.JAA.0000455643.58683.26}}</ref> | |||
==References== | ==References== | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Rhinology]] | [[Category:Rhinology]] | ||
[[Category:First aid]] | [[Category:First aid]] | ||
[[Category:Injuries]] | [[Category:Injuries]] | ||
Latest revision as of 20:35, 13 January 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Liudvikas Jagminas, M.D., FACEP [2] , Amir Behzad Bagheri, M.D.
Overview
The hallmark of epistaxis is nosebleed. History of nose-picking, facial trauma, hypertension and coagulopathy may be found. The less common symptoms of epistaxis include fainting, dizziness, and hypovolemic shock.
History
Patients with epistaxis may have a positive history of:[1]
- Trauma
- Allergy symptoms
- Bleeding in other areas
- Common cold
- Foreign bodies
- Nose-picking
- Neoplasia
- Coagulopathy
- History of nasal irritation
- Previous epistaxis
- Rhinorrhea
- Sinus/tooth pain
- Some factors may worsen the nose bleeding or act as triggers such as: nose blowing habit, excessive coughing, which may happen in chronic obstructive pulmonary disease, straining, as happens in case ofconstipation and benign prostatic hyperplasia, and lifting heavy objects.[2]
- Refractory nosebleed or profuse bleeding may be suggestive of posterior epistaxis.
Symptoms
- The hallmark of epistaxis is nose bleeding.
Less Common Symptoms
- Heavy epistaxis can cause hypovolemia. As a result, dizziness and fainting can be symptoms of epistaxis.[3]
References
- ↑ Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.
- ↑ Beck R, Sorge M, Schneider A, Dietz A (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
- ↑ Diamond, Linda (2014). "Managing epistaxis". Journal of the American Academy of Physician Assistants. 27 (11): 35–39. doi:10.1097/01.JAA.0000455643.58683.26. ISSN 1547-1896.