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Immediate management of epistaxis: bloody nuisance or ominous sign?
1Division of Otolaryngology-Head and Neck Surgery, University of California, San Diego, CA, 92103-8895, USA.
Abstract:
Epistaxis typically originates from the nasal septum when the nasal mucosa overlying a dilated blood vessel is injured. Epistaxis may, however, signal an underlying condition such as a coagulation disorder, so the treating physician must be alert for signs of serious illness. Most nosebleeds stop spontaneously within 5 minutes with or without pressure to the forehead, nose, or upper lip. Some require anterior nasal packing. A few arise from posterior arteries and require anterior-posterior nasal packing and a referral.
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