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Epistaxis physical examination


Editor in Chief:: C. Michael Gibson, M.S., M.D. , Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.

Overview

Overview

Patients with epistaxis are usually well-appearing. Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.

Physical Examination

Physical Examination

Physical examination of patients with epistaxis is usually remarkable for bleeding from nostrils and posterior nose bleeding.[1] [2] [3] [4]

Appearance of the Patient

Patients with epistaxis are usually well-appearing.

Vital Signs

Vital signs in patients with epistaxis are usually normal.

In heavy epistaxis patients may have hypotension and tachycardia due to hypovolemia.

Skin

Patients with epistaxis may have vascular malformation.

HEENT

  • Evidence of trauma such as nasal deformity

Lungs

Lungs examination in patients with epistaxis is usually normal.

Abdomen

Abdomen examination in patients with epistaxis is usually normal.

Back

Back examination in patients with epistaxis is usually normal.

Genitourinary

Genitourinary examination in patients with epistaxis is usually normal.

Neuromuscular

Neuromuscular examination of patients with epistaxis is usually normal.

Extremities

Extremities examination of patients with epistaxis is usually normal.

References

References

  1. Beck, Rafael; Sorge, Martin; Schneider, Antonius; Dietz, Andreas (2018). “Current Approaches to Epistaxis Treatment in Primary and Secondary Care”. Deutsches Aerzteblatt Online. doi:10.3238/arztebl.2018.0012. ISSN 1866-0452.
  2. El-Darouti, Mohammad Ali; Al-Ali, Faiza Mohamed (2019). “Epistaxis with Vascular Papules of Skin and Mouth”: 479–483. doi:10.1007/978-3-030-21855-3_63.
  3. 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.
  4. Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). “Clinical Practice Guideline: Nosebleed (Epistaxis)”. Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.

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