Why are vital signs checked in the physical exam in epistaxis (nosebleed)?

Updated: May 08, 2020
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Assess vital signs. Although high blood pressure rarely, if ever, causes epistaxis on its own, it may impede clotting. Check blood pressure, and complete a workup if high blood pressure is present. Persistent tachycardia must be recognized as an early indicator of significant blood loss requiring intravenous (IV) fluid replacement and, potentially, transfusion.

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