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Epistaxis :blowfish: (:green_heart: Mx (Choices of Mx:fish: (CauterizationâĶ
Epistaxis :blowfish:
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:earth_asia:Etio
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Systemic
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Blood dyscrasia: ITP, thrombocytopenia purpura
also use of NSAIDs, ASA
Osler-Weber-Rendu
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Presentation
Mucocutaneous telangiectasia
at oral, nasal mucosa, nail bed
Arteriovenous malformation (AVM) at Liver, Lung, CNS, spinal cord
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:silhouette: Hx
Blood characteristics
âĻ Severity, Amount, Recurrent, Color, Location, Aggra/relieving factors
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Personal Hz
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Medications
Eg VitE, Gingko, liver fish oil, ASA, Pravit
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:green_heart: Mx
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Choices of Mx:fish:
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Nasal packing
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Anterior nasal packing
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Pack 2-3 day or āđāļāļēāļāļāļāđāļĢāđāļ§āļŠāļļāļāđāļĄāļ·āđāļsure āļ§āđāļē stop bleed alrdy
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Arterial ligations
- Internal maxillary ligation
(recall Sphenopalatine a branch fr this)
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- Internal Carotid ligation + Ant. Packing
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Arterial embolization
:check: I/C
- Recurrent/Refractory epistaxis
- Vessels anomaly: Osler-Weber-Rendu
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- Pre/post op evaluation: Juvenile angiofibroma
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