Answer
Congenital coagulopathies should be suspected in individuals with a positive family history, easy bruising, or prolonged bleeding from minor trauma or surgery. Examples of congenital bleeding disorders include hemophilia and von Willebrand disease. [7]
Acquired coagulopathies can be primary (due to the diseases) or secondary (due to their treatments). Among the more common acquired coagulopathies are thrombocytopenia and liver disease with its consequential reduction in coagulation factors. Even in the absence of liver disease, alcoholism has also been associated with coagulopathy and epistaxis. Oral anticoagulants predispose to epistaxis.
Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!
Media Gallery
-
Posterior epistaxis from the left sphenopalatine artery.
-
Resolved posterior epistaxis after endoscopic cauterization of the left sphenopalatine artery.
-
Nasal speculum.
-
Vaseline gauze packing.
-
Expandable (Merocel) packing (dry).
-
Nasal vascular anatomy
of
6
