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Nosebleed

  • Common ddx

    • dry nose
    • trauma
    • rubbing due to irritation (seasonal allergies)
  • Serious ddx

    • hemophilia (easy bleeding, bruising)
    • von Willebrand
    • leukemia, lymphoma (fever, freq infection, nightsweats)
    • severe hypertension
    • nasal polyps, tumors
  • Labs

    • BP
    • coags
    • CBC
    • imaging if suspect tumor
  • Other ddx

    • ITP
  • ROS

    • easy bleeding, bruising, FH of bleeding disorders
    • frequent infections
    • fever, wt loss, nightsweats
    • rash
    • nasal dryness
    • trauma
    • seasonal allergies, nasal itchiness, irritation
    • cocaine snorting
    • nasal polyps
  • Px

    • blood pressure
    • nasal septum
    • nasal mucosa (dry, moist, erythematous, pale, boggy)
    • nasal polyps, mass, ulcers
    • skin: rash, petechiae, purpura, bruising
    • lymphadenopathy
  • Tx for uncomplicated nose bleeds

    • stop rubbing nose
    • saline sprays for dry nose

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.