Epistaxis history and symptoms: Difference between revisions

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{{Epistaxis}}
{{Epistaxis}}


{{CMG}} {{AE}} [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] [mailto:LJagminas@mhri.org] , [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
{{CMG}} {{AE}} [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] [mailto:LJagminas@mhri.org] , [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]


<br />
==Overview==
==Overview==
History of [[trauma]], previous epistaxis and [[coagulopathies]] are in top list. Dizziness and fainting can be symptoms of epistaxis.<br />
The hallmark of [[epistaxis]] is [[nosebleed]]. History of [[nose-picking]], [[facial trauma]], [[hypertension]] and [[coagulopathy]] may be found. The less common symptoms of [[epistaxis]] include [[fainting]], [[dizziness]], and [[hypovolemic shock]].
==History and Symptoms==
 
 
Heavy epistaxis can cause hypovolemia so dizziness and fainting can be symptoms of epistaxis.<ref name="Diamond2014">{{cite journal|last1=Diamond|first1=Linda|title=Managing epistaxis|journal=Journal of the American Academy of Physician Assistants|volume=27|issue=11|year=2014|pages=35–39|issn=1547-1896|doi=10.1097/01.JAA.0000455643.58683.26}}</ref>
 
 


==History==
Patients with [[epistaxis]] may have a positive history of:<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref>
Patients with [[epistaxis]] may have a positive history of:<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref>
 
*[[Trauma]]
*History of [[trauma]]
*[[Allergy]] symptoms
*Allergy symptoms
*[[Bleeding]] in other areas
*Bleeding in other areas
 
*[[Common cold]]
*[[Common cold]]
*[[Foreign bodies]]
*[[Foreign bodies]]
*[[Nose-picking]]
*[[Nose-picking]]
*[[Neoplasia]]
*[[Neoplasia]]
*[[Coagulopathy]]
*[[Coagulopathy]]
*Frequency
*History of nasal irritation
*History of nasal irritation
*Inciting factors
*Previous epistaxis
*Previous epistaxis
*[[Rhinorrhea]]
*[[Rhinorrhea]]
*Sinus/tooth pain
*Sinus/tooth pain
</br>
* Some factors may worsen the nose bleeding or act as triggers such as: nose blowing habit, excessive [[coughing]], which may happen in [[chronic obstructive pulmonary disease]], straining, as happens in case of[[constipation]] and [[benign prostatic hyperplasia]], and lifting heavy objects.<ref name="pmid29345234">{{cite journal| author=Beck R, Sorge M, Schneider A, Dietz A| title=Current Approaches to Epistaxis Treatment in Primary and Secondary Care. | journal=Dtsch Arztebl Int | year= 2018 | volume= 115 | issue= 1-02 | pages= 12-22 | pmid=29345234 | doi=10.3238/arztebl.2018.0012 | pmc=5778404 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29345234  }} </ref>
*Refractory nosebleed or profuse bleeding may be suggestive of posterior epistaxis.
==Symptoms==
*The hallmark of [[epistaxis]] is nose bleeding.
==Less Common Symptoms==
*Heavy epistaxis can cause [[hypovolemia]]. As a result, [[dizziness]] and [[fainting]] can be symptoms of [[epistaxis]].<ref name="Diamond2014">{{cite journal|last1=Diamond|first1=Linda|title=Managing epistaxis|journal=Journal of the American Academy of Physician Assistants|volume=27|issue=11|year=2014|pages=35–39|issn=1547-1896|doi=10.1097/01.JAA.0000455643.58683.26}}</ref>


==References==
==References==
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{{WikiDoc Sources}}
{{WikiDoc Sources}}


[[Category:Needs content]]
[[Category:Up-To-Date]]
[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
[[Category:Rhinology]]
[[Category:Rhinology]]
[[Category:First aid]]
[[Category:First aid]]
[[Category:Injuries]]
[[Category:Injuries]]

Latest revision as of 20:35, 13 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Liudvikas Jagminas, M.D., FACEP [2] , Amir Behzad Bagheri, M.D.

Overview

The hallmark of epistaxis is nosebleed. History of nose-picking, facial trauma, hypertension and coagulopathy may be found. The less common symptoms of epistaxis include fainting, dizziness, and hypovolemic shock.

History

Patients with epistaxis may have a positive history of:[1]


Symptoms

Less Common Symptoms

References

  1. 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.
  2. Beck R, Sorge M, Schneider A, Dietz A (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
  3. Diamond, Linda (2014). "Managing epistaxis". Journal of the American Academy of Physician Assistants. 27 (11): 35–39. doi:10.1097/01.JAA.0000455643.58683.26. ISSN 1547-1896.

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