Nosebleed
Age: years old
Gender:
HISTORY:
Presents with a - history of nosebleeds
Onset was , started
Frequency:
Volume of blood loss: , approximately mL
Located on
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
,
, , , ,
, , , ,
, strong foul smell
, , , clots
Contributing factors:
no history of: , ,
no use of: , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
ASSESSMENT:
DDx: anterior epistaxis, posterior epistaxis, uncontrolled hypertension, nasal tumor, foreign body, trauma to the nose, medication side effect, nasal dryness, allergic rhinitis, chronic sinusitis, nasal polyps, deviated septum, liver disease, thrombocytopenia, cocaine use
PLAN:
Investigations:
- Blood work: , ,
- Nasal endoscopy
- CT scan of the sinuses
Treatments:
-
-
-
-
- if packing is used
-
- Petroleum jelly to nasal mucosa BID
- Keep ambiant humidity 50%
- Avoidance of nasal irritants
- Smoking cessation counseling
- Blood pressure management
Further care:
- Referral to ENT specialist
- Follow-up in
- Return if epistaxis recurs, if unable to control bleeding, or if signs of significant blood loss develop
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: