Epistaxis differential diagnosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Epistaxis}}
{{Epistaxis}}
'''Editor in Chief''': [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [[Mailto:charlesmichaelgibson@gmail.com|[1]]] '''Associate Editor(s)-in-Chief:''' [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
'''Editor in Chief''': [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [1] '''Associate Editor(s)-in-Chief:''' [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
 
<br />
 
== Overview ==
Many [[Disease|diseases]] can cause [[epistaxis]]. Based on patient history and [[physical examination]] we can [[diagnose]] cause of [[epistaxis]].  The challenging part is distinguish between anterior- [[epistaxis]] and posterior-[[epistaxis]].
<br />
==Differentiating Epistaxis from other Diseases==
==Differentiating Epistaxis from other Diseases==
According to the following points, we can differentiate between anterior and posterior [[epistaxis]]:
* Anterior epistaxis is more common than posterior epistaxis, but posterior-epistaxis is harder to stop.
* Causes of both anterior and posterior epistaxis are almost the same.
* Bleeding from nostril usually refers to anterior-epistaxis (it can occur in heavy posterior-epistaxis too).
* Epistaxis in children is usually anterior but incidence of posterior epistaxis is more in elderly patients.
* Rhinoscopy is the best way to distinguish between anterior and posterior epistaxis, and we can't find source of bleeding with anterior rhinoscopy.
Following causes of epistaxis are the most important causes that we should differentiate them:
According to past medical history, drug history, and examinations, different causes of epistaxis can be diagnosed.<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref>
According to past medical history, drug history, and examinations, different causes of epistaxis can be diagnosed.<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref>
===In alphabetical order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===
===In alphabetical order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===

Revision as of 20:17, 14 October 2020

Epistaxis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Epistaxis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT Scan

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Epistaxis differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Epistaxis differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Epistaxis differential diagnosis

CDC on Epistaxis differential diagnosis

Epistaxis differential diagnosis in the news

Blogs on Epistaxis differential diagnosis

Directions to Hospitals Treating Epistaxis

Risk calculators and risk factors for Epistaxis differential diagnosis

Editor in Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.


Overview

Many diseases can cause epistaxis. Based on patient history and physical examination we can diagnose cause of epistaxis. The challenging part is distinguish between anterior- epistaxis and posterior-epistaxis.

Differentiating Epistaxis from other Diseases

According to the following points, we can differentiate between anterior and posterior epistaxis:

  • Anterior epistaxis is more common than posterior epistaxis, but posterior-epistaxis is harder to stop.
  • Causes of both anterior and posterior epistaxis are almost the same.
  • Bleeding from nostril usually refers to anterior-epistaxis (it can occur in heavy posterior-epistaxis too).
  • Epistaxis in children is usually anterior but incidence of posterior epistaxis is more in elderly patients.
  • Rhinoscopy is the best way to distinguish between anterior and posterior epistaxis, and we can't find source of bleeding with anterior rhinoscopy.

Following causes of epistaxis are the most important causes that we should differentiate them:

According to past medical history, drug history, and examinations, different causes of epistaxis can be diagnosed.[1]

In alphabetical order[2] [3]

References

  1. 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.
  2. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  3. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Template:WikiDoc Sources