Epistaxis
Sx - nose bleed.
PE -
⢠Nasal cavity/Nares.
⢠Septal deviation.
Next Steps
Dx - CBC. Coagulation studies (PT, PTT, INR). Nasal endoscopy (look for neoplasm).
Health Tips
Tx - Oxymetazoline nasal (Afrin) (0.05%) nasal drops, 2-3 sprays in each nostril Q10-12h PRN. Mupirocin topical (Bactroban) 2% ointment. Cefuroxime axetil 250-500mg BID for 7-10 days. Cautery. Prevention: Avoid picking or rubbing inside the nose. Home humidification. Apply petroleum jelly, saline spray or saline nasal gels to discourage intranasal excoriation and thereby help preserve mucosal integrity.