assessment of nose bleeding [Epistaxis]

Thursday, September 29, 2011

I'll write these post in the the form of hint in very simple manner , if you want to know more u can read text book.

1.History:

medical history (general illeness).
site: more -anterior.
side:
duration and recurrences.

2.Nasal examination:

Anterior: little area more than 90%.
posterior: below middle turbinate ......spheropalatine artery.
superior: above middle turbinate.........ethmoidal artery.
epistaxis varies in severity from mild to moderate to sevsre and may be fatal

3.General examination:

a.vital data:
blood pressure.....low...shock      high......hypertension.
pulse....rapid...shock.
temperature...high...fever.

b.Systemic examination: to detect general causes of epistaxis [nose bleeding]

c.Hess test : positive in purpura