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.
Overview
Patients with epistaxis are usually well-appearing. Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.
Physical Examination
Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.[1] [2] [3] [4]
Appearance of the Patient
Patients with epistaxis are usually well-appearing.
Vital Signs
Vital signs in patients with epistaxis are usually normal.
In heavy epistaxis patients may have hypotension and tachycardia due to hypovolemia.
Skin
Patients with epistaxis may have vascular malformation.
HEENT
- Evidence of trauma such as nasal deformity
- Discoloration of mucosa
Lungs
Lungs examination in patients with epistaxis is usually normal.
Abdomen
Abdomen examination in patients with epistaxis is usually normal.
Back
Back examination in patients with epistaxis is usually normal.
Genitourinary
Genitourinary examination in patients with epistaxis is usually normal.
Neuromuscular
Neuromuscular examination of patients with epistaxis is usually normal.
Extremities
Extremities examination of patients with epistaxis is usually normal.
References
- ↑ Beck, Rafael; Sorge, Martin; Schneider, Antonius; Dietz, Andreas (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Deutsches Aerzteblatt Online. doi:10.3238/arztebl.2018.0012. ISSN 1866-0452.
- ↑ El-Darouti, Mohammad Ali; Al-Ali, Faiza Mohamed (2019). "Epistaxis with Vascular Papules of Skin and Mouth": 479–483. doi:10.1007/978-3-030-21855-3_63.
- ↑ Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.
- ↑ 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.