Lethal Epistaxis

Byard, Roger W.

doi:10.1111/1556-4029.13119

Cited by 5 publications

(3 citation statements)

References 81 publications

(87 reference statements)

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“…Nosebleed is commonly found due to trauma in the NPC. These symptoms occur due to the invasion of NPC to the nasal cavity, fossa pterygoid, and maxillary sinus [1,2,[14][15][16][17]. Ear related symptoms that occur are recurrent ear infection with dysfunction of eustachius tube, deafen hearing, otorrhea, otorrhagia, effusion, and tinnitus.…”

Section: Discussionmentioning

confidence: 99%

Correlation of nasopharyngeal carcinoma symptoms based on Digby’s score with biopsy results of nasopharyngeal masses of new patients in ENT-HNS clinic at prof. Dr. I.G.N.G Ngoerah State Hospital

Michael Christopher,

Rovie Hikari Parastan,

Jan Christian

et al. 2024

GSC Adv. Res. Rev.

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Introduction: Nasopharyngeal carcinoma is a disease that may cause mortality and shows with many clinical symptoms in the nose, ear, eyes, and nervous system. This study aimed to help clinical workers decide which patient with these symptoms must be referred or not. Methods: Primary data from the ENT Clinic of Prof. Dr. dr. I.G.N.G Ngoerah was used from January 2022 to March 2022. Descriptive analysis and logistic regression were employed to describe the relationship between patients’ demographic, clinical symptoms with the diagnosis of NPC from histopathology examination. Results: There are 40 patients in this study, with 22 patients have positive results of NPC, and 18 patients with negative results of NPC. Nasal mass, nasal symptoms and fulfillment of Digby’s score are the most related to NPC’s positive biopsy results (OR: 10, p=0.04; OR: 37. p=0,02; OR: 4.5, p=0,038 respectively). Conclusion: NPC has wide variety of symptoms, and it must be kept in mind that these symptoms can be NPC and must consider to refer to ENT-HNS Specialist.

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Section: Discussionmentioning

confidence: 99%

Correlation of nasopharyngeal carcinoma symptoms based on Digby’s score with biopsy results of nasopharyngeal masses of new patients in ENT-HNS clinic at prof. Dr. I.G.N.G Ngoerah State Hospital

Michael Christopher,

Rovie Hikari Parastan,

Jan Christian

et al. 2024

GSC Adv. Res. Rev.

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“…4 Epistaxis in the acute phase rarely leads to death, the cause of which is usually massive hemorrhage, aspiration, or airway obstruction. 5 Initial assessment of the patient's airway, breathing, and circulation is important; when there is evidence of clinical instability, hemodynamic stabilization and airway management should be undertaken prior to the cessation of epistaxis. 6 Epistaxis can occasionally mimic upper gastrointestinal bleeding; it can be the cause of unexplained hematemesis or melena.…”

Section: Discussionmentioning

confidence: 99%

Hematemesis due to double sources: a case report of epistaxis following gastric ulcer

Yano

Hongo

Kuriyama

et al. 2019

Acute Medicine & Surgery

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Background: Epistaxis is a common condition that can sometimes be overlooked. It usually presents with obvious symptoms but could also present as hematemesis and melena. Case Presentation: A 78-year-old man presented to our emergency department with melena and shock. Initial endoscopy revealed a bleeding gastric ulcer. However, he had recurrent episodes of hematemesis and melena following coagulation therapy, and a repeat esophagogastroduodenoscopy could not identify the source of bleeding for more than 1 week. Epistaxis from nasal polyps was identified as the cause of hemorrhagic shock. Posterior nasal packing was carried out with Foley catheters, and an endoscopic sinus surgery was finally performed. Conclusion: We report a case of epistaxis that caused hematemesis and melena following gastrointestinal bleeding. The diagnosis of epistaxis might have been delayed due to anchoring bias. Clinicians should be aware that epistaxis can mimic upper gastrointestinal bleeding and remember this important differential diagnosis.

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“…Kristensen, 2020 Posterior hemorrhage is the most serious presentation and is generated mainly from branches of the sphenopalatine artery. 5 Mortality associated with epistaxis is 3.4%. Death is not considered to be a direct result of the bleeding.…”

Section: Introductionmentioning

confidence: 99%

Management of Upper Airway Bleeding in Patients Hospitalized for SARS-COV2

J¹

2021

SOJCEM

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Spontaneous epistaxis in patients with COVID-19 can represent a clinical challenge with respect to both the risk of contamination and the treatment options. Epistaxis (nosebleed) is a common condition overall but is relatively rare in adults and older patients. We herein present the data of 25 patients with COVID-19 who developed spontaneous epistaxis while hospitalized at Centro Médico Naval from March 2020 to April 2021. All patients received low-molecular-weight heparin during their hospital stay and required supplementary oxygen therapy either by a nasal cannula, continuous positive airway pressure or ventilatory mechanical support. In total, 12100 patients with laboratory confirmed SARS-CoV-2 infection were admitted to our hospital unit from 1 March to 31 April 2021. We only found 25 patients with epistaxis, All patients underwent anterior rhinoscopy. In all patients, the bleeding site was identified, controlled with cauterization with silver nitrate and absorbable hemostatic material. In patients with posterior epistaxis, the posterior packing was removed after 5 days. Nasal lubricants were prescribed in all patients after bleeding was controlled. All patients required suspension of anticoagulation after the bleeding event for 48 hours. Posterior, anterior and oropharyngeal epistaxis occurred in both sexes, in patients with comorbidities (Diabetes mellitus, hypertension, obesity) without statistical difference. In those patients who were on ventilatory mechanical support, they presented the same risk of epistaxis, however, with a small tendency to present greater anterior epistaxis, in the same way, those patients who presented anterior epistaxis had higher mortality.

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Lethal Epistaxis

Cited by 5 publications

References 81 publications

Correlation of nasopharyngeal carcinoma symptoms based on Digby’s score with biopsy results of nasopharyngeal masses of new patients in ENT-HNS clinic at prof. Dr. I.G.N.G Ngoerah State Hospital

Correlation of nasopharyngeal carcinoma symptoms based on Digby’s score with biopsy results of nasopharyngeal masses of new patients in ENT-HNS clinic at prof. Dr. I.G.N.G Ngoerah State Hospital

Hematemesis due to double sources: a case report of epistaxis following gastric ulcer

Management of Upper Airway Bleeding in Patients Hospitalized for SARS-COV2

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