What medical history and behaviors are relevant in epistaxis (nosebleed)?

Updated: May 08, 2020
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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In addition to obtaining a head and neck history with an emphasis on nasal symptoms, elicit a general medical history concerning relevant medical conditions, current medications, and smoking and drinking habits.

Inquire about previous epistaxis, hypertension, hepatic or other systemic disease, easy bruising, or prolonged bleeding after minor surgical procedures. A history of frequent recurrent nosebleeds, easy bruising, or other bleeding episodes should make the clinician suspicious of a systemic cause and prompt a hematologic workup. Obtain any family history of bleeding disorders or leukemia.

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