Answer
Recurrent epistaxis in children could be caused by a foreign body, especially if the nosebleeds are accompanied by symptoms of unilateral nasal congestion and purulent rhinorrhea. Delayed epistaxis in a trauma patient may signal the presence of a traumatic aneurysm.
Other conditions to be considered include the following:
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Chemical irritants
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Hepatic failure
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Leukemia
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Thrombocytopenia
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Heparin toxicity
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Ticlopidine toxicity
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Dipyridamole toxicity
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Trauma
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Tumor
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Media Gallery
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Posterior epistaxis from the left sphenopalatine artery.
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Resolved posterior epistaxis after endoscopic cauterization of the left sphenopalatine artery.
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Nasal speculum.
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Vaseline gauze packing.
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Expandable (Merocel) packing (dry).
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Nasal vascular anatomy
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