Epistaxis

Thursday, September 29, 2011

Epistaxis

Definition : Nose bleeding either ant (nasal) or posterior (postnasal).

Causes :
 It is two types local causes and general causes:

 We will make it easy with my mnemonics.....i make it in my ENT Round >>some times my nose bleeds so remember these mnemonics very well.

Mnemonics:  [CTIINS] It is just letters in English but in Arabic it is 60.

Local causes

1. Congenital: as hemorrhagic telangiectasia (Osler-Weber Render Syndrome).
2. Trauma: Nose Picking , foreign body, Dirct trauma , surgical trauma.
3. Inflammatory: Rhinitis(acute or chronic) , Sinusitis (acute or chronic) .
4. Idiopathic:70%-most common cause-ant-arise from little area.
5. Neoplastic:Malignancy [nasal-nasopharynx-sinus]   Benign [angiomas-angiofibromas-haemangiomas]
6. Septal deviation: Spur and Perforation.