ent Flashcards
1
Q
A father attends the surgery with his seven-year-old son. His son is experiencing intermittent nose bleeds with minimal blood loss. They always self-terminate and he is not currently bleeding. He has no significant past medical history or family history of bleeding disorders.
What is the most appropriate management?
A
Prescribe a short course of topical chlorhexidine and neomycin, and discourage the child from picking his nose.
2
Q
what are the common causes of epistaxis in children?
A
- nose picking (most common cause)
- foreign body
- upper respiratory tract infection
- allergic rhinitis
Clinical Knowledge Summaries recommend referring children under the age of 2 years as epistaxis is rare in this age group and may be secondary to trauma or bleeding disorders.
