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<ul><li><p>Epistaxis</p><p>Prof Mulder2012</p><p>*</p><p>vvnhhggfbnkjgkgfhvm</p></li><li><p>IT IS NEVER A DISEASE</p><p>IT IS ALWAYS A SYMPTOM OF PATHOLOGY !!</p><p>*</p><p>tyuiopdfghjkl</p></li><li><p>LOCAL</p><p>SYSTEMIC</p><p>Congenital etc.</p></li><li><p>CONGENITAL </p><p>INFECTIVE </p><p>INFLAMMATION</p><p>NEOPLASM </p><p>TRAUMA </p><p>ALLERGY </p><p>AUTO - IMMUNE</p><p>VASCULAR </p><p>ENDOCRINOLOGY</p><p>METABOLIC</p><p>MECHANICAL</p><p>MEDICATION</p><p>Rx</p><p>TREAT THE CAUSE</p></li><li><p>WALL</p><p> CONTENTS</p><p> Cells: (Rbc. Wbc. Platelets</p><p> Immunoglobulins</p><p> Electrolytes</p><p> Clotting factors</p><p> Glucose </p><p> Cholesterol </p><p> etc..</p></li><li><p>HYPERTENSION</p><p>HEADACHE</p><p>DISPRIN, GRANDPA</p><p>EPISTAXIS</p></li><li><p>Pressure</p><p>Ice pack</p><p>Plug with cottonwool</p><p>( + vasoconstrictor)</p><p>Cauterize</p><p>LITTLES AREA</p><p>Rx</p></li><li><p>PACKING</p><p> Gauze tape</p><p> Merocel</p><p> + Foleys catheter</p><p>POSTERIOR EPISTAXIS</p><p>Rx</p></li><li><p>Calm the patient</p><p>Explain what you are going to do</p><p>IV fluids</p><p>Blood transfusion</p><p>Blow the nose (+ suction)</p><p>Determine which side is bleeding</p><p>Pack the nose:</p><p> Anterior pack (BIPP, Merocel, Gauze tape)</p><p> Posterior pack (Foleys catheter)</p></li><li><p>DANGERS OF NASAL PACKS</p><p>No sedation!!!!!!!!</p><p>Hypoxia</p><p>Antibiotic cover essential</p><p>Patient to be admitted</p><p>Trauma to nasal vestibule</p></li><li><p>WHY (HOW) DO THESE CONDITIONS </p><p>CAUSE EPISTAXIS?</p><p>Arteriosclerosis</p><p>Hypertension</p><p>Cardiac failure</p><p>Diabetes</p><p>Uraemia</p><p>Liver cell failure</p><p>Drugs</p><p>Leucemia</p><p>*</p><p>vvnhhggfbnkjgkgfhvm</p><p>*</p><p>tyuiopdfghjkl</p></li></ul>

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