Lecture 17- Epistaxis Flashcards
1
Q
epistaxis
A
acute haemorrhage from nostril, nasal cavity or nasopharynx
- very common
- usually minor and self-treated
2
Q
immediate treatment
A
squeeze soft part of nose
3
Q
squeezing soft part of nose
A
puts pressure on Keisselbachs plexus (Little’s area)
4
Q
if bleed continues for more than 15 mins
A
go to A and E
5
Q
first step taken to treat nose bleed
A
pinch nose
6
Q
second step taken to treat nose bleed
A
cauterisation with silver nitrate strips in littles area
7
Q
third step taken to treat nose bleed
A
tamponade
8
Q
fourth step
A
posterior packing
9
Q
fifth step
A
ligation of the sphenopalatine artery
10
Q
risk factors
A
- young (picking nose)
- Old
- clotting disorder
- drugs
- cancer
11
Q
clotting disorders
A
- haemophilia
- Von Willebrand factor deficiency
- thrombocytopenia (low platelets)
12
Q
drugs which thin blood
A
warfarin and aspirin
13
Q
types of epistaxis
A
posterior
anterior
14
Q
posterior
A
sphenopalatine artery
- more worrying
- bilateral
15
Q
anterior
A
kiesselbachs plexus (littles) - more likely to be unilateral
