1. Name of the location of 90% of epistaxis
2. A genetic disorder that forms AV malformations in the skin, lungs, brain etc
3. Name of posterior vascular plexus in the nasal cavity causing posterior epistaxis
4. 1st line treatment for all epistaxis
5. The common brand name for anterior nasal packing
6. Chemical used in cautery sticks
7. Physically scaring complication of posterior nasal packing with foleys catheter
Coming soon..
Virtual Patients - Rhinology - Epistaxis
A 65-year-old man presents to A&E with a large volume left sided epistaxis. It began spontaneously and has persisted for the last 2 hours despite good first aid measures. The patient is also complaining he can taste blood in his mouth and on two occasions has coughed up blood clots.
Past medical history
Atrial fibrillation (AF)
Hypertension
Osteoarthritis
Drug history
Warfarin 4mg OD
Verapamil 120mg BD
NKDA
Social history
Retired carpenter
Ex-smoker
Does not drink alcohol
On examination
The patient is alert
Pulse 100bpm BP 185/95
Respiratory rate 20
Oxygen saturation 100% on air
Nasal examination reveals the following finding on the anterior aspect of the left nasal septum
Question
Which of the following descriptions best describes your nasal examination findings?