Epistaxis history and symptoms: Difference between revisions
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Revision as of 20:17, 6 November 2020
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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]
- History of 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. Due to that, 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.