Epistaxis physical examination
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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 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.
Physical Examination
- Physical examination of patients with epistaxis is usually started with checking ABC (Airway, Breathing, Circulation).. [1]
- Rhinoscope is a good device to find the source of bleeding.
- Evidence of septal perforation
- Washing area may increase visibility
- Blood in mouth (without obvious nasal bleed) can be indicative of a posterior bleeding.
References
- ↑ Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). "Clinical Practice Guideline: Nosebleed (Epistaxis)". Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.