Epistaxis physical examination: Difference between revisions

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Revision as of 17:20, 25 October 2020

Editor in Chief:: C. Michael Gibson, M.S., M.D. , Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D. , Liudvikas Jagminas, M.D., FACEP [1]

Overview

Patients with epistaxis are usually well-appearing. Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.

Physical Examination

Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.

Appearance of the Patient

Patients with epistaxis are usually well-appearing.

Vital Signs

Vital signs in patients with epistaxis are usually normal.

In heavy epistaxis patients may have hypotension and tachycardia due to hypovolemia.

Skin

Patients with epistaxis may have vascular malformation.

HEENT

Evidence of septal perforation

Evidence of trauma

Foreign body

Discoloration of mucosa

Active bleeding vessel

Lungs

Lungs examination in patients with epistaxis is usually normal.

Abdomen

Abdomen examination in patients with epistaxis is usually normal.

Back

Back examination in patients with epistaxis is usually normal.

Genitourinary

Genitourinary examination in patients with epistaxis is usually normal.

Neuromuscular

Neuromuscular examination of patients with epistaxis is usually normal.

Extremities

Extremities examination of patients with epistaxis is usually normal.

References

Template:WikiDoc Sources

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 ==Overview==
-Patients with [[epistaxis]] usually appear good. Physical examination of patients with epistaxis is usually started with checking ABC ([[Airway]], [[Breathing]], [[Circulation]]), and using [[rhinoscopy]] to find the source of [[bleeding]].
+[[Patients]] with [[epistaxis]] are usually well-appearing. [[Physical examination]] of [[patients]] with [[epistaxis]] is usually remarkable for [[bleeding]] from [[nostrils]] and [[posterior]] [[nose]] [[bleeding]].
 ==Physical Examination==
+[[Physical examination]] of [[patients]] with [[epistaxis]] is usually remarkable for [[bleeding]] from [[nostrils]] and [[posterior]] [[nose]] [[bleeding]].
-*Physical examination of patients with epistaxis is usually started with checking ABC ([[Airway]], [[Breathing]], [[Circulation]]).. <ref name="TunkelAnne2020">{{cite journal|last1=Tunkel|first1=David E.|last2=Anne|first2=Samantha|last3=Payne|first3=Spencer C.|last4=Ishman|first4=Stacey L.|last5=Rosenfeld|first5=Richard M.|last6=Abramson|first6=Peter J.|last7=Alikhaani|first7=Jacqueline D.|last8=Benoit|first8=Margo McKenna|last9=Bercovitz|first9=Rachel S.|last10=Brown|first10=Michael D.|last11=Chernobilsky|first11=Boris|last12=Feldstein|first12=David A.|last13=Hackell|first13=Jesse M.|last14=Holbrook|first14=Eric H.|last15=Holdsworth|first15=Sarah M.|last16=Lin|first16=Kenneth W.|last17=Lind|first17=Meredith Merz|last18=Poetker|first18=David M.|last19=Riley|first19=Charles A.|last20=Schneider|first20=John S.|last21=Seidman|first21=Michael D.|last22=Vadlamudi|first22=Venu|last23=Valdez|first23=Tulio A.|last24=Nnacheta|first24=Lorraine C.|last25=Monjur|first25=Taskin M.|title=Clinical Practice Guideline: Nosebleed (Epistaxis)|journal=Otolaryngology–Head and Neck Surgery|volume=162|issue=1_suppl|year=2020|pages=S1–S38|issn=0194-5998|doi=10.1177/0194599819890327}}</ref>
+=== Appearance of the Patient ===
+[[Patients]] with [[epistaxis]] are usually well-appearing.
-*[[Rhinoscope]] is a good device to find the source of [[bleeding]].
+=== '''Vital Signs''' ===
+Vital signs in [[patients]] with [[epistaxis]] are usually normal.
-*Evidence of septal perforation
+In heavy [[epistaxis]] [[patients]] may have [[hypotension]] and [[tachycardia]] due to [[hypovolemia]].
-*Washing area may increase visibility
-*Blood in [[mouth]] (without obvious nasal bleed) can be indicative of a posterior [[bleeding]].
+=== Skin ===
+[[Patients]] with [[epistaxis]] may have vascular malformation.
+=== HEENT ===
+* Evidence of [[septal perforation]]
+* Evidence of [[trauma]]
+* [[Foreign body]]
+* Discoloration of [[Mucous membrane|mucosa]]
+* Active [[bleeding]] [[vessel]]
+=== Lungs ===
+Lungs examination in [[Patient|patients]] with [[epistaxis]] is usually normal.
+=== Abdomen ===
+Abdomen examination in [[Patient|patients]] with [[epistaxis]] is usually normal.
+=== Back ===
+[[Human back|Back]] examination in [[Patient|patients]] with [[epistaxis]] is usually normal.
+=== Genitourinary ===
+[[Genitourinary system|Genitourinary]] examination in [[Patient|patients]] with [[epistaxis]] is usually normal.
+=== Neuromuscular ===
+[[Neuromuscular]] examination of [[Patient|patients]] with [[epistaxis]] is usually normal.
+=== Extremities ===
+Extremities examination of [[Patient|patients]] with [[epistaxis]] is usually normal.
 ==References==