Epistaxis

Question 1

Risk Factors

Answer 1

DRUGS
-Clopidegrel, aspirin, warfarin

DISEASE

• HTN
• Chronic granulomatous disease
• Bleeding disorder
• Rhinitis
• Leukaemia, thrombocytopenia, hepatic disorders

Question 2

Investigations

Answer 2

Direct inspection of nose
Rhinoscopy

Recurrent then
Bloods: Hb, clotting screen, group and save

Question 3

Home treatment

Answer 3

Pinch nose
Tilt head forwards
Wait 15-30mins

Question 4

Management

Answer 4

1. Silver nitrate cautery
2. Naseptim ointment (antiseptic) for 1-2 weeks

GENERAL ADVICE

• Do not blow nose for a week
• No hot baths and showers
• Cool food
• No hot drinks in first 72h
• No strenous exercise for a week