Epistaxis Quiz

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Reviewed By:

Eric A. Gantwerker, MD, MMSC

Eric A. Gantwerker, MD, MMSC (Ear, nose, throat (ENT))

Pediatric Otolaryngologist at Northwell Health and Associate Professor of Otolaryngology at Zucker School of Medicine at Hofstra/Northwell. He holds a Master of Medical Science (MMSc) in Medical Education with a special focus on educational technology, educational research, and game-based learning from Harvard Medical School and a Master of Science in Physiology and Biophysics from Georgetown University. He has a special interest in faculty development and has been a speaker or faculty at hundreds of local, national, and international courses and conferences. He is also an active blogger and podcaster for several organizations, including the Harvard Macy Institute (HMI), Harvard Medical School CME Online, and BackTable Innovations. He has been featured in the news and print for media outlets such as USA Today, Businesswire, The Washington Post, Nature Medicine, Fox News, and KevinMD. He was also the Vice President, Medical Director of a medical video game company, Level Ex from 2018 to 2023 that utilized game technology and psychology to create interactive experiences for healthcare professionals. | He is recognized as an expert on the implementation of educational technologies and gaming with a foundation in educational theory for health professions education. He was honored to be inducted as an Associate Member of the American College of Surgeons (ACS) Academy of Master Surgeon Educators and as an Associate Fellow of the Association for Medical Education in Europe (AMEE).

Rohini R, MD

Rohini R, MD (Ear, nose, throat (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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  • Epistaxis

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Learn more about Epistaxis

Content updated on Nov 2, 2022

What is epistaxis?

Also known as nosebleeds which is the presence of blood coming from the nasal cavity from one or both sides. Nosebleeds most often come from the front of the middle part of the nose known as the septum. Triggers include dry, hot air and picking at the nose. In rare cases, epistaxis may be caused by tumors in the nose or blood clotting problems.

Symptoms of epistaxis

  • Nosebleed

Questions your doctor may ask to check for epistaxis

Your doctor may ask these questions to diagnose epistaxis

  • Are you having nose bleeding?

Treatment for epistaxis

First aid involves leaning forward and pinching the soft part of the nose against the septum continuously for several minutes. There is no evidence that leaning back or ice on the nose works. If pressure doesn't work, a doctor can pack the nose or treat the area with chemical cautery. Repeated nosebleeds may require further evaluation by a specialist. Prevention of nosebleeds includes moisture with nasal saline, humidification, and topical treatment of petroleum-based ointments.

View the symptoms of Epistaxis

  • Bleeding from the nose

References

  • Krulewitz NA, Fix ML. Epistaxis. Emerg Med Clin North Am. 2019 Feb;37(1):29-39. doi: 10.1016/j.emc.2018.09.005. PMID: 30454778.

    https://www.sciencedirect.com/science/article/abs/pii/S0733862718300920?via%3Dihub

  • Womack JP, Kropa J, Jimenez Stabile M. Epistaxis: Outpatient Management. Am Fam Physician. 2018 Aug 15;98(4):240-245. PMID: 30215971.

    https://www.aafp.org/pubs/afp/issues/2018/0815/p240.html

  • Seikaly H. Epistaxis. N Engl J Med. 2021 Mar 11;384(10):944-951. doi: 10.1056/NEJMcp2019344. PMID: 33704939.

    https://www.nejm.org/doi/10.1056/NEJMcp2019344

  • Meccariello G, Georgalas C, Montevecchi F, Cammaroto G, Gobbi R, Firinu E, De Vito A, Vicini C. Management of idiopathic epistaxis in adults: what's new? Acta Otorhinolaryngol Ital. 2019 Aug;39(4):211-219. doi: 10.14639/0392-100X-2155. Epub 2019 Mar 25. PMID: 30933179; PMCID: PMC6734206.

    https://www.actaitalica.it/article/view/204

User testimonials

Reviewed By:

Eric A. Gantwerker, MD, MMSC

Eric A. Gantwerker, MD, MMSC (Ear, nose, throat (ENT))

Pediatric Otolaryngologist at Northwell Health and Associate Professor of Otolaryngology at Zucker School of Medicine at Hofstra/Northwell. He holds a Master of Medical Science (MMSc) in Medical Education with a special focus on educational technology, educational research, and game-based learning from Harvard Medical School and a Master of Science in Physiology and Biophysics from Georgetown University. He has a special interest in faculty development and has been a speaker or faculty at hundreds of local, national, and international courses and conferences. He is also an active blogger and podcaster for several organizations, including the Harvard Macy Institute (HMI), Harvard Medical School CME Online, and BackTable Innovations. He has been featured in the news and print for media outlets such as USA Today, Businesswire, The Washington Post, Nature Medicine, Fox News, and KevinMD. He was also the Vice President, Medical Director of a medical video game company, Level Ex from 2018 to 2023 that utilized game technology and psychology to create interactive experiences for healthcare professionals. | He is recognized as an expert on the implementation of educational technologies and gaming with a foundation in educational theory for health professions education. He was honored to be inducted as an Associate Member of the American College of Surgeons (ACS) Academy of Master Surgeon Educators and as an Associate Fellow of the Association for Medical Education in Europe (AMEE).

Rohini R, MD

Rohini R, MD (Ear, nose, throat (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

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