What is the focus of clinical history for evaluation of anterior nasal epistaxis?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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A focused history aids the clinician in managing the acutely bleeding patient. This history should include some or all of the following questions:

  • Which side is bleeding?

  • Which side was bleeding initially?

  • What is the estimated amount of blood loss?

  • Is it recurrent?

  • Is it in the pharynx?

  • Has any trauma recently occurred?

  • Are symptoms of hypovolemia present?

  • What are the patient's past medical history and current medications (eg, aspirin, warfarin)? [3]

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