epistaxis

Question 1

Where does the vascular supply to the nose originate from?

Answer 1

branches of the internal and external carotid - anastomose extensively within the wall of the nose and septum

Question 2

What branches come off ICA?

Answer 2

Anterior and posterior ethmoidal arteries

Question 3

ECA?

Answer 3

Sphenopalatine, greater palatine and superior labial artery

Question 4

What is the most common place for a nose bleed? why?

Answer 4

Little’s area - kisselbach’s plexus on the anterior septum - no of vessels anastomose

Question 5

What are some local causes of epistaxis?

Answer 5

Idiopathic, trauma, foreign bodies

Question 6

systemic?

Answer 6

Drugs, clotting abnormalities, liver disease

Question 7

Treatment of epistaxis?

Answer 7

resus patient - consider amount of blood loss, most important in elderly/ cardiovascular disease

local = external pressure to ear for 10 mins , lean forward so no blood goes down your throat
ice
cautery
nasal packing