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929:) for at least five minutes and up to 30 minutes. Pressure should be firm and tilting the head forward helps decrease the chance of nausea and airway obstruction due to blood dripping into the airway. When attempting to stop a nosebleed at home, the head should not be tilted back. Swallowing excess blood can irritate the stomach and cause vomiting.
969:
801:
medication and disorders of blood clotting can promote and prolong bleeding. Spontaneous epistaxis is more common in the elderly as the nasal mucosa (lining) becomes dry and thin and blood pressure tends to be higher. The elderly are also more prone to prolonged nosebleeds as their blood vessels are
1459:
Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth,
1100:
Ongoing bleeding despite good nasal packing is a surgical emergency and can be treated by endoscopic evaluation of the nasal cavity under general anesthesia to identify an elusive bleeding point or to directly ligate (tie off) the blood vessels supplying the nose. These blood vessels include the
796:
contains a rich blood supply that can be easily ruptured and cause bleeding. Rupture may be spontaneous or initiated by trauma. Nosebleeds are reported in up to 60% of the population with peak incidences in those under the age of ten and over the age of 50 and appear to occur in males more than
1136:
The utility of local cooling of the head and neck is controversial. Some state that applying ice to the nose or forehead is not useful. Others feel that it may promote vasoconstriction of the nasal blood vessels and thus be useful. In
Indonesian traditional medicine, betel leaf is used to stop
1460:
Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (7 January 2020). "Clinical
Practice Guideline: Nosebleed (Epistaxis) Executive Summary".
1058:
and the Rapid Rhino. The
Merocel nasal tampon is similar to gauze packing except it is a synthetic foam polymer (made of polyvinyl alcohol and expands in the nose after application of water) that provides a less hospitable medium for bacteria. The Rapid Rhino stops nosebleeds using a balloon
1038:
If pressure and chemical cauterization cannot stop bleeding, nasal packing is the mainstay of treatment. Nasal packing is typically categorized into anterior nasal packing and posterior nasal packing. Nasal packing may also be categorized into dissolvable and non-dissolvable types.
828:
Sometimes blood flowing from other sources of bleeding passes through the nasal cavity and exits the nostrils. It is thus blood coming from the nose but is not a true nosebleed, that is, not truly originating from the nasal cavity. Such bleeding is called "pseudoepistaxis"
393:
About 60% of people have a nosebleed at some point in their life. About 10% of nosebleeds are serious. Nosebleeds are rarely fatal, accounting for only 4 of the 2.4 million deaths in the U.S. in 1999. Nosebleeds most commonly affect those younger than 10 and older than 50.
1164:" and "nosebleed seats" are common slang for seating at sporting or other spectator events that are the highest up and farthest away from the event. The reference alludes to the propensity for nasal hemorrhage at high altitudes, usually owing to lower barometric pressure.
1053:
Traditionally, nasal packing was accomplished by packing gauze into the nose, thereby placing pressure on the vessels in the nose and stopping the bleeding. Traditional gauze packing has been replaced with other non-dissolvable nasal packing products such as
449:
Most causes of nose bleeding are self-limiting and do not require medical attention. However, if nosebleeds are recurrent or do not respond to home therapies, an underlying cause may need to be investigated. Some rarer causes are listed below:
2677:
2662:
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825:, a venous plexus situated in the posterior part of inferior meatus. Posterior bleeds are often prolonged and difficult to control. They can be associated with bleeding from both nostrils and with a greater flow of blood into the mouth.
1063:, which has a cuff that is inflated by air to stop bleeding through extra pressure in the nasal cavity. Systematic review articles have demonstrated that the efficacy in stopping nosebleeds is similar between the Rapid Rhino and
1178:, "picking blood from one's nose" and "begging for a nosebleed" are commonly used in abstract meaning to describe self-destructive behaviour, for example ignoring safety procedures or deliberately aggravating stronger parties.
949:
may be applied into the bleeding side(s) of the nose followed by application of direct pressure. Those with nosebleeds that last longer than 30 minutes (despite use of direct pressure and vasoconstrictive medications such as
1117:. There is no difference in outcomes between embolization and ligation as treatment options, but embolization is considerably more expensive. Continued bleeding may be an indication of more serious underlying conditions.
1050:. The thrombogenic foams and gels do not require removal and dissolve after a few days. Typically, dissolvable nasal packing is first attempted; if the bleeding persists, non-dissolvable nasal packing is the next option.
2076:
Iqbal, I. Z.; Jones, G. H.; Dawe, N.; Mamais, C.; Smith, M. E.; Williams, R. J.; Kuhn, I.; Carrie, S. (December 2017). "Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review".
1091:
can occur with prolonged nasal packing. As a result, any patient who has non-dissolvable nasal packing should be given prophylactic antibiotic medication to be taken as long as the nasal packing remains in the nose.
2791:
1075:. Patients who receive non-dissolvable nasal packing need to return to a medical professional in 24–72 hours in order to have packing removed. Complications of non-dissolvable nasal packing include
1185:
slang, to "have a nosebleed" is to have serious difficulty conversing in
English with a fluent or native English speaker. It can also refer to anxiety brought on by a stressful event such as an
3284:
901:
Individuals who suffer from nosebleeds regularly, especially children, are encouraged to use over-the-counter nasal saline sprays and avoid vigorous nose-blowing as preventative measures.
1913:
J. F. Lubianca Neto; F. D. Fuchs; S. R. Facco; M. Gus; L. Fasolo; R. Mafessoni; A. L. Gleissner (1999). "Is epistaxis evidence of end-organ damage in patients with hypertension?".
2784:
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1014:) is usually applied prior to cauterization. Silver nitrate can cause blackening of the skin due to silver sulfide deposit, though this will fade with time. Once the
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378:
in the nose. Initially, treatment is generally the application of pressure for at least five minutes over the lower half of the nose. If this is not sufficient,
3277:
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packs; however, the Rapid Rhino has been shown to have greater ease of insertion and reduced discomfort. Posterior nasal packing can be achieved by using a
890:
People with uncomplicated nosebleeds can use conservative methods to prevent future nosebleeds such as sleeping in a humidified environment or applying
359:. There are two types: anterior, which is more common; and posterior, which is less common but more serious. Anterior nosebleeds generally occur from
3270:
3401:
625:. Due to the sensitive location, nosebleeds caused by tumors are typically associated with other symptoms, such as hearing or vision problems.
3153:
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1879:
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1965:
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1071:, blowing up the balloon when it is in the back of the throat, and applying anterior traction so that the inflated balloon occludes the
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to the nasal mucosa, which burns and seals off the bleeding. Eventually the nasal tissue to which the chemical is applied will undergo
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females. An increase in blood pressure (e.g. due to general hypertension) tends to increase the duration of spontaneous epistaxis.
1010:. This form of treatment is best for mild bleeds, especially in children, that are clearly visible. A topical anesthetic (such as
3638:
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2415:
1128:
helps promote blood clotting. For nosebleeds it can be applied to the site of bleeding, taken by mouth, or injected into a vein.
538:
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tribe includes reference to women who experience nosebleeds as a result of a lover's playing of music, implying sexual arousal.
1826:
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Nosebleeds can be a sign of cancer in the sinus area, which is rare, or tumors starting at the base of the brain, such as
446:
can cause inflammation and thinning of the tissue in the nose, leading to a greater likelihood of bleeding from the nose.
3618:
3581:
1744:
Svider, Peter; Arianpour, Khashayar; Mutchnick, Sean (June 2018). "Management of
Epistaxis in Children and Adolescents".
3919:
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3159:
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2014:
Béquignon, E.; Teissier, N.; Gauthier, A.; Brugel, L.; Kermadec, H. De; Coste, A.; Prulière-Escabasse, V. (2017-08-01).
543:
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702:
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431:
2348:"Effectivity of Betel Leaf (Piper betle L.) Gel Extract in Shortening Bleeding Time After Deciduous Tooth Extraction"
1510:
Joseph, Jonathan; Martinez-Devesa, Pablo; Bellorini, Jenny; Burton, Martin J (2018-12-31). Cochrane ENT Group (ed.).
1042:
Dissolvable nasal packing materials stop bleeding through use of thrombotic agents that promote blood clots, such as
473:
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910:
426:, blunt trauma (such as a motor vehicle accident), or insertion of a foreign object (more likely in children). Low
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Villwock, JA; Jones, K (Dec 2013). "Recent trends in epistaxis management in the United States: 2008–2010".
1060:
814:
596:
573:
360:
2131:
Killick, N; Malik, V; Nirmal Kumar, B (Mar 2014). "Nasal packing for epistaxis: an evidence-based review".
1200:, "pretending to have a nosebleed" is a saying that means pretending not to know anything about something.
3716:
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3649:
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1157:, nosebleeds often signify intense mental focus or effort, particularly during the use of psychic powers.
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217:
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821:. Bleeding farther back in the nose is known as a posterior bleed and is usually due to bleeding from
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Nosebleeds can occur due to a variety of reasons. Some of the most common causes include trauma from
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1105:, anterior and posterior ethmoidal arteries. More rarely the maxillary or a branch of the external
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nosebleeds as it contains tannin which causes blood to coagulate, thus stopping active bleeding.
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using a catheter placed in the groin and threaded up the aorta to the bleeding vessel by an
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79:
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A three-year-old child with a minor nosebleed from falling and hitting his face on the floor
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3225:
3142:
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1987:
Guarisco JL, Graham HD (1989). "Epistaxis in children: causes, diagnosis, and treatment".
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and may also be used to control benign cases of epistaxis. For example, a few sprays of
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1605:
Wilson, I. Dodd (1990). Walker, H. Kenneth; Hall, W. Dallas; Hurst, J. Willis (eds.).
1570:(17th ed.). Shelton, Conn.: People's Medical Pub. House/B C Decker. p. 551.
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17:
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1709:"Work Table I. Deaths from each cause by 5-year age groups, race and sex: US, 1999"
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The arteries that supply
Kiesselbach's plexus (responsible for anterior nosebleeds)
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1153:, nosebleeding often indicates that the bleeding person is sexually aroused. In
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914:
735:
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333:
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and then apply pressure to the soft anterior part of the nose (by pinching the
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Nasal bleeds may be due to fracture of facial bones namely maxilla and zygoma.
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2524:(2 ed.). Toronto, Ontario: Random House of Canada Limited. p. 274.
2346:
Tedjasulaksana, Regina; Nahak, Maria
Martina; Larasati, Ratih (2017-01-04).
1891:
1084:
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648:(usually a sharp blow to the face such as a punch, sometimes accompanying a
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1934:
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Kucik, Corry J.; Clenney, Timothy (2005-01-15). "Management of epistaxis".
411:
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2000:
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2268:
Oxford textbook of primary medical care. Buch, 1: Principles and concepts
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1007:
806:
772:
606:
559:
483:
439:
410:, the one on the right having a nosebleed due to a punch to the face, in
321:
317:
301:
917:. Those who have a nosebleed should first attempt to blow out any blood
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3766:
3065:
2850:
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2830:
2015:
1076:
1064:
1047:
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767:
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339:
Risk factors include trauma, including putting the finger in the nose,
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1072:
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407:
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Clinical
Methods: The History, Physical, and Laboratory Examinations
1109:
can be ligated. The bleeding can also be stopped by intra-arterial
3117:
2927:
1168:
1150:
1146:
783:
745:
691:
401:
309:
1512:"Tranexamic acid for patients with nasal haemorrhage (epistaxis)"
305:
3266:
2773:
1955:
The
Journal of Laryngology & Otology (2008), 122: 1074–1077
1357:
Tabassom, A; Cho, JJ (January 2020). "Epistaxis (Nose Bleed)".
854:
488:
2271:(1 ed.). Oxford: Oxford Univ. Press. 2005. p. 711.
1235:
1226:
1217:
1567:
Ballenger's otorhinolaryngology : head and neck surgery
678:(such as from descent in aircraft or ascent in scuba diving)
328:
occurs. Blood may also be forced to flow up and through the
2388:"Manga: The Complete Guide, reviewed by Richard von Busack"
85:
1966:"Taking control of nosebleeds - Mayo Clinic Health System"
725:(particularly prolonged or improper use of nasal steroids)
586:(particularly prolonged or improper use of nasal steroids)
496:—cirrhosis causes deficiency of factor II, VII, IX,& X
112:
103:
91:
2520:
Various (1984). Erdoes, Richard; Ortiz, Alfonso (eds.).
1796:"Nosebleeds & Headaches: Do You Have Brain Cancer?"
941:
are widely available over the counter for treatment of
871:
847:
and ending up in the nasal cavity, then dripping out.
1640:
Krulewitz, NA; Fix, ML (February 2019). "Epistaxis".
124:
115:
109:
106:
97:
82:
2625:
2223:
Folz, BJ; Kanne, M; Werner, JA (November 2008). "".
1866:
Corry J. Kucik; Timothy
Clenney (January 15, 2005).
909:
Most anterior nosebleeds can be stopped by applying
386:
may also be helpful. If bleeding episodes continue,
100:
88:
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805:The vast majority of nosebleeds occur in the front
320:. In more severe cases, blood may come out of both
282:
274:
262:
247:
236:
216:
206:
172:
164:
154:
142:
94:
69:
47:
42:
2016:"Emergency Department care of childhood epistaxis"
1276:Ferri's Clinical Advisor 2014 E-Book: 5 Books in 1
813:. This area is richly endowed with blood vessels (
1403:Morgan, Daniel J.; Kellerman, Rick (March 2014).
1002:This method involves applying a chemical such as
802:less able to constrict and control the bleeding.
528:naturally occurring in some fruits and vegetables
2325:(2nd ed.). Berlin: Springer. p. 3968.
513:used particularly in wines, dried fruits, etc. )
363:while posterior bleeds generally occur from the
2298:. New York: McGraw-Hill Medical. p. 1182.
2496:Cinema of the Psychic Realm: A Critical Survey
324:. Rarely, bleeding may be so significant that
3278:
2785:
2472:""Stranger Things" and the Psychic Nosebleed"
8:
1820:Yueng-Hsiang Chu & Jih-Chin Lee (2009).
1590:: CS1 maint: multiple names: authors list (
1564:Wackym, James B. Snow,... P. Ashley (2009).
2190:JAMA Otolaryngology–Head & Neck Surgery
2169:MedlinePlus Medical Encyclopedia: Nosebleed
2126:
2124:
1642:Emergency Medicine Clinics of North America
1398:
1396:
3543:
3536:
3332:
3285:
3271:
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2917:
2792:
2778:
2770:
2626:
1685:Vaughan and Asbury's General Ophthalmology
1394:
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1384:
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1380:
1378:
1376:
1352:
1350:
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1342:
371:. The diagnosis is by direct observation.
312:can flow down into the stomach, and cause
251:Pressure over the lower half of the nose,
56:
39:
2363:
2319:al.], A.Y. Elzouki ... [et (2011-10-29).
1559:
1557:
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1535:
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1499:
1454:
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1448:
1420:
1306:
1304:
1302:
1300:
1298:
1296:
1279:. Elsevier Health Sciences. p. 399.
1268:
1266:
1264:
1262:
1260:
1258:
1256:
430:(such as in centrally heated buildings),
2079:The Journal of Laryngology & Otology
1687:. McGraw Hill Professional. p. 92.
1409:Primary Care: Clinics in Office Practice
1167:The oral history of the Native American
51:Epistaxis, bloody nose, nasal hemorrhage
1861:
1859:
1857:
1516:Cochrane Database of Systematic Reviews
1252:
1087:, and pressure necrosis. In rare cases
964:
3915:Symptoms and signs: Respiratory system
2164:
2162:
1611:(3rd ed.). Boston: Butterworths.
1583:
2071:
2069:
2067:
2065:
1880:American Academy of Family Physicians
1739:
1737:
1735:
1733:
1022:may be used to neutralize any excess
762:Hereditary hemorrhagic telangiectasia
7:
2133:British Journal of Hospital Medicine
1462:Otolaryngology–Head and Neck Surgery
2414:Morgan, Joyce (February 10, 2007).
1145:In the visual language of Japanese
740:functional endoscopic sinus surgery
468:idiopathic thrombocytopenic purpura
464:thrombotic thrombocytopenic purpura
1746:Pediatric Clinics of North America
809:(front) part of the nose from the
374:Prevention may include the use of
168:Less than 10 and over 50 years old
25:
2522:American Indian Myths and Legends
2416:"Superheroes for a complex world"
1160:In American and Canadian usage, "
954:) should seek medical attention.
913:, which helps by promoting blood
3639:platelet storage pool deficiency
3591:Heparin-induced thrombocytopenia
2612:
1927:10.1097/00005537-199907000-00019
1800:Advanced Neurosurgery Associates
1225:, "to bleed from the nose" from
985:
976:
967:
858:
817:). This region is also known as
539:Granulomatosis with polyangiitis
78:
2322:Textbook of clinical pediatrics
1827:New England Journal of Medicine
3358:Activated protein C resistance
2470:Tracey, Liz (30 August 2016).
2178:service. Retrieved 2010-03-15.
1995:(7): 522, 528–30, 532 passim.
1528:10.1002/14651858.CD004328.pub3
332:and out of the eye, producing
1:
2536:"Finnish idioms and proverbs"
959:Clip used to stop a nosebleed
509:(sulphur dioxide) E220 (as a
3452:Trousseau sign of malignancy
2173:National Library of Medicine
544:Systemic lupus erythematosus
432:respiratory tract infections
3772:Nonthrombocytopenic purpura
3348:Antithrombin III deficiency
2579:"Doen alsof je neus bloedt"
2493:Meehan, Paul (2009-10-21).
2443:"Anime Physics: Nosebleeds"
2292:Bissonnette, Bruno (2010).
2145:10.12968/hmed.2014.75.3.143
2032:10.1136/emermed-2015-205528
764:(Osler–Weber–Rendu disease)
703:nasopharyngeal angiofibroma
687:Septal fracture/perforation
617:Nasopharyngeal angiofibroma
3936:
3727:Congenital afibrinogenemia
3631:Glanzmann's thrombasthenia
2559:OMG! Nosebleed! Say what?!
2499:. McFarland. p. 193.
2231:(11): 1157–65, quiz 1166.
1683:Riordan-Eva, Paul (2000).
1236:
1227:
1218:
1115:interventional radiologist
32:Nosebleed (disambiguation)
29:
3843:Gastrointestinal bleeding
3645:Hermansky–Pudlak syndrome
3414:Antiphospholipid syndrome
3395:Essential thrombocythemia
3305:
3096:Precordial catch syndrome
2996:Cheyne–Stokes respiration
2421:The Sydney Morning Herald
2237:10.1007/s00106-008-1838-3
2202:10.1001/jamaoto.2013.5220
2091:10.1017/S0022215117002055
1872:American Family Physician
1868:"Management of Epistaxis"
1758:10.1016/j.pcl.2018.02.007
1654:10.1016/j.emc.2018.09.005
1422:10.1016/j.pop.2013.10.007
1313:American Family Physician
278:60% at some point in time
64:
55:
3813:Subconjunctival bleeding
3619:Bernard–Soulier syndrome
3582:Upshaw–Schulman syndrome
3556:Thrombocytopenic purpura
3385:Sticky platelet syndrome
2568:Retrieved 28 August 2013
1474:10.1177/0194599819889955
699:Nasopharyngeal carcinoma
658:(such as fingers during
612:Nasopharyngeal carcinoma
602:Adenoid cystic carcinoma
474:Von Willebrand's disease
3803:Intracranial hemorrhage
3179:Charcot–Leyden crystals
1273:Ferri, Fred F. (2013).
597:Squamous cell carcinoma
357:inhaled corticosteroids
223:Bleeding from the lungs
3717:Factor XIII deficiency
3697:Hypoprothrombinemia/II
3692:von Willebrand disease
3650:Gray platelet syndrome
2896:Whispered pectoriloquy
1840:10.1056/NEJMicm0807268
1822:"Unilateral Epistaxis"
1061:carboxymethylcellulose
998:Chemical Cauterization
789:
636:Anatomical deformities
419:
218:Differential diagnosis
160:Bleeding from the nose
27:Bleeding from the nose
18:Anterior nasal packing
3712:Factor XII deficiency
3702:Factor VII deficiency
3520:Renal vein thrombosis
2365:10.15562/bmj.v6i1.374
787:
775:of the carotid artery
494:Chronic liver disease
405:
365:sphenopalatine artery
3468:Deep vein thrombosis
3363:Protein S deficiency
3353:Protein C deficiency
3174:Curschmann's spirals
3022:Respiratory distress
2861:Pleural friction rub
2540:saaressa.blogspot.fr
2352:Bali Medical Journal
2295:Pediatric Anesthesia
1718:. 2011. p. 1922
1234:, "above, over" and
1089:toxic shock syndrome
933:medications such as
839:). Examples include
815:Kiesselbach's plexus
715:(tending to dry the
576:drugs (particularly
361:Kiesselbach's plexus
300:, is an instance of
30:For other uses, see
3920:Otorhinolaryngology
3707:Factor X deficiency
3596:May–Hegglin anomaly
3373:Prothrombin G20210A
1141:Society and culture
355:, dry weather, and
345:high blood pressure
192:high blood pressure
149:Otorhinolaryngology
3833:Pulmonary hematoma
3740:Signs and symptoms
3515:Pulmonary embolism
3320:Bleeding diathesis
3215:pulmonary embolism
3187:chronic bronchitis
3027:Respiratory arrest
3006:Ataxic respiration
3001:Kussmaul breathing
2991:Biot's respiration
2986:Agonal respiration
2882:Elicited findings
2826:Respiratory sounds
2805:respiratory system
2801:Signs and symptoms
2719:External resources
2564:2013-10-20 at the
2448:Anime News Network
1894:on August 29, 2008
1059:catheter, made of
870:. You can help by
790:
521:food preservatives
420:
353:seasonal allergies
326:low blood pressure
227:esophageal varices
212:Direct observation
200:seasonal allergies
178:Trauma, excessive
3887:
3886:
3883:
3882:
3735:
3734:
3722:Dysfibrinogenemia
3606:Platelet function
3528:
3527:
3407:Purpura fulminans
3260:
3259:
3074:
3073:
2767:
2766:
2278:978-0-19-856782-0
2085:(12): 1065–1092.
1989:Ear Nose Throat J
1694:978-0-07-137831-4
1286:978-0-323-08431-4
1162:nosebleed section
1026:via formation of
943:allergic rhinitis
888:
887:
823:Woodruff's plexus
550:Medications/Drugs
511:food preservative
442:or environmental
436:chronic sinusitis
428:relative humidity
369:Woodruff's plexus
330:nasolacrimal duct
290:
289:
208:Diagnostic method
37:Medical condition
16:(Redirected from
3927:
3548:Thrombocytopenia
3544:
3537:
3493:Lowenberg's sign
3343:Clotting factors
3333:
3287:
3280:
3273:
3264:
2945:Hyperventilation
2918:
2803:relating to the
2794:
2787:
2780:
2771:
2627:
2622:
2617:
2616:
2615:
2599:
2598:
2596:
2594:
2585:. Archived from
2575:
2569:
2556:
2550:
2549:
2547:
2546:
2532:
2526:
2525:
2517:
2511:
2510:
2490:
2484:
2483:
2481:
2479:
2467:
2461:
2460:
2458:
2456:
2439:
2433:
2432:
2430:
2428:
2411:
2405:
2404:
2402:
2400:
2384:
2378:
2377:
2367:
2343:
2337:
2336:
2316:
2310:
2309:
2289:
2283:
2282:
2263:
2257:
2256:
2220:
2214:
2213:
2185:
2179:
2166:
2157:
2156:
2128:
2119:
2118:
2073:
2060:
2059:
2011:
2005:
2004:
1984:
1978:
1977:
1975:
1973:
1962:
1956:
1953:
1947:
1946:
1921:(7): 1111–1115.
1910:
1904:
1903:
1901:
1899:
1890:. Archived from
1863:
1852:
1851:
1817:
1811:
1810:
1808:
1807:
1792:
1786:
1785:
1741:
1728:
1727:
1725:
1723:
1713:
1705:
1699:
1698:
1680:
1674:
1673:
1637:
1631:
1630:
1602:
1596:
1595:
1589:
1581:
1561:
1550:
1549:
1539:
1522:(12): CD004328.
1507:
1494:
1493:
1456:
1443:
1442:
1424:
1400:
1371:
1370:
1354:
1337:
1336:
1308:
1291:
1290:
1270:
1239:
1238:
1230:
1229:
1221:
1220:
1176:Finnish language
1081:septal hematomas
989:
980:
971:
931:Vasoconstrictive
883:
880:
862:
855:
841:blood coughed up
717:olfactory mucosa
665:Digital trauma (
460:Thrombocytopenia
418:in November 2006
390:is recommended.
296:, also known as
131:
127:
122:
121:
118:
117:
114:
111:
108:
105:
102:
99:
96:
93:
90:
87:
84:
60:
40:
21:
3935:
3934:
3930:
3929:
3928:
3926:
3925:
3924:
3890:
3889:
3888:
3879:
3828:Hemopericardium
3778:
3731:
3662:Clotting factor
3656:
3600:
3524:
3473:Bancroft's sign
3456:
3447:Virchow's triad
3418:
3368:Factor V Leiden
3324:
3301:
3291:
3261:
3256:
3234:pulmonary edema
3226:Westermark sign
3143:Post-nasal drip
3138:Silhouette sign
3070:
3061:Mouth breathing
3010:
2974:
2950:Hypoventilation
2907:
2807:
2798:
2768:
2763:
2762:
2714:
2713:
2638:
2620:Medicine portal
2618:
2613:
2611:
2608:
2603:
2602:
2592:
2590:
2577:
2576:
2572:
2566:Wayback Machine
2557:
2553:
2544:
2542:
2534:
2533:
2529:
2519:
2518:
2514:
2507:
2492:
2491:
2487:
2477:
2475:
2469:
2468:
2464:
2454:
2452:
2441:
2440:
2436:
2426:
2424:
2413:
2412:
2408:
2398:
2396:
2386:
2385:
2381:
2345:
2344:
2340:
2333:
2318:
2317:
2313:
2306:
2291:
2290:
2286:
2279:
2265:
2264:
2260:
2222:
2221:
2217:
2196:(12): 1279–84.
2187:
2186:
2182:
2167:
2160:
2130:
2129:
2122:
2075:
2074:
2063:
2013:
2012:
2008:
1986:
1985:
1981:
1971:
1969:
1964:
1963:
1959:
1954:
1950:
1912:
1911:
1907:
1897:
1895:
1865:
1864:
1855:
1819:
1818:
1814:
1805:
1803:
1794:
1793:
1789:
1743:
1742:
1731:
1721:
1719:
1711:
1707:
1706:
1702:
1695:
1682:
1681:
1677:
1639:
1638:
1634:
1619:
1604:
1603:
1599:
1582:
1578:
1563:
1562:
1553:
1509:
1508:
1497:
1458:
1457:
1446:
1402:
1401:
1374:
1356:
1355:
1340:
1310:
1309:
1294:
1287:
1272:
1271:
1254:
1249:
1206:
1155:Western fiction
1143:
1134:
1126:Tranexamic acid
1123:
1121:Tranexamic acid
1098:
1036:
1028:silver chloride
1000:
995:
994:
993:
990:
981:
972:
961:
960:
925:; not the bony
911:direct pressure
907:
892:petroleum jelly
884:
878:
875:
868:needs expansion
853:
782:
780:Pathophysiology
714:
556:Anticoagulation
400:
384:Tranexamic acid
376:petroleum jelly
269:Tranexamic acid
241:Petroleum jelly
138:
129:
125:
81:
77:
38:
35:
28:
23:
22:
15:
12:
11:
5:
3933:
3931:
3923:
3922:
3917:
3912:
3910:Nose disorders
3907:
3902:
3892:
3891:
3885:
3884:
3881:
3880:
3878:
3877:
3876:
3875:
3867:
3866:
3865:
3860:
3855:
3853:Hemoperitoneum
3850:
3845:
3837:
3836:
3835:
3830:
3825:
3817:
3816:
3815:
3810:
3805:
3800:
3795:
3786:
3784:
3780:
3779:
3777:
3776:
3775:
3774:
3764:
3759:
3754:
3749:
3743:
3741:
3737:
3736:
3733:
3732:
3730:
3729:
3724:
3719:
3714:
3709:
3704:
3699:
3694:
3689:
3688:
3687:
3682:
3677:
3666:
3664:
3658:
3657:
3655:
3654:
3653:
3652:
3647:
3635:
3634:
3633:
3623:
3622:
3621:
3610:
3608:
3602:
3601:
3599:
3598:
3593:
3587:
3586:
3585:
3584:
3579:
3569:
3568:
3567:
3565:Evans syndrome
3552:
3550:
3541:
3534:
3530:
3529:
3526:
3525:
3523:
3522:
3517:
3512:
3511:
3510:
3505:
3500:
3498:Peabody's sign
3495:
3490:
3485:
3480:
3475:
3464:
3462:
3458:
3457:
3455:
3454:
3449:
3444:
3439:
3434:
3428:
3426:
3420:
3419:
3417:
3416:
3411:
3410:
3409:
3399:
3398:
3397:
3392:
3390:Thrombocytosis
3387:
3377:
3376:
3375:
3370:
3365:
3360:
3355:
3350:
3339:
3337:
3330:
3326:
3325:
3323:
3322:
3317:
3312:
3306:
3303:
3302:
3292:
3290:
3289:
3282:
3275:
3267:
3258:
3257:
3255:
3254:
3249:
3244:
3243:
3242:
3230:
3229:
3228:
3223:
3211:
3210:
3209:
3197:
3196:
3195:
3183:
3182:
3181:
3176:
3164:
3163:
3162:
3150:
3145:
3140:
3135:
3130:
3125:
3120:
3115:
3110:
3105:
3104:
3103:
3098:
3093:
3082:
3080:
3076:
3075:
3072:
3071:
3069:
3068:
3063:
3058:
3056:Breath holding
3053:
3048:
3043:
3038:
3029:
3024:
3018:
3016:
3012:
3011:
3009:
3008:
3003:
2998:
2993:
2988:
2982:
2980:
2976:
2975:
2973:
2972:
2967:
2962:
2957:
2952:
2947:
2942:
2937:
2936:
2935:
2924:
2922:
2915:
2909:
2908:
2906:
2905:
2904:
2903:
2898:
2893:
2888:
2880:
2879:
2878:
2873:
2868:
2863:
2858:
2853:
2848:
2843:
2838:
2833:
2823:
2817:
2815:
2809:
2808:
2799:
2797:
2796:
2789:
2782:
2774:
2765:
2764:
2761:
2760:
2749:
2735:
2723:
2722:
2720:
2716:
2715:
2712:
2711:
2700:
2689:
2674:
2659:
2639:
2634:
2633:
2631:
2630:Classification
2624:
2623:
2607:
2606:External links
2604:
2601:
2600:
2589:on 8 June 2020
2570:
2551:
2527:
2512:
2505:
2485:
2462:
2451:. 17 July 2010
2434:
2406:
2379:
2338:
2331:
2311:
2304:
2284:
2277:
2258:
2215:
2180:
2158:
2120:
2061:
2026:(8): 543–548.
2006:
1979:
1968:. 25 July 2023
1957:
1948:
1905:
1853:
1812:
1787:
1752:(3): 607–621.
1729:
1700:
1693:
1675:
1632:
1618:978-0409900774
1617:
1597:
1576:
1551:
1495:
1444:
1372:
1338:
1319:(2): 305–311.
1292:
1285:
1251:
1250:
1248:
1245:
1243:, "to drip ".
1205:
1202:
1198:Dutch language
1142:
1139:
1133:
1130:
1122:
1119:
1107:carotid artery
1103:sphenopalatine
1097:
1094:
1069:Foley catheter
1035:
1032:
1024:silver nitrate
1018:is deposited,
1016:silver nitrate
1004:silver nitrate
999:
996:
992:
991:
984:
982:
975:
973:
966:
963:
962:
958:
957:
956:
906:
903:
886:
885:
865:
863:
852:
849:
781:
778:
777:
776:
770:
765:
753:
752:
749:
743:
726:
720:
712:
706:
688:
685:
679:
670:
663:
656:Foreign bodies
653:
650:nasal fracture
643:
627:
626:
619:
614:
609:
604:
599:
588:
587:
581:
571:
547:
546:
541:
530:
529:
523:
514:
507:Sulfur dioxide
498:
497:
491:
486:
481:
476:
471:
399:
396:
341:blood thinners
288:
287:
284:
280:
279:
276:
272:
271:
266:
260:
259:
249:
245:
244:
238:
234:
233:
231:vomiting blood
220:
214:
213:
210:
204:
203:
188:blood thinners
176:
170:
169:
166:
162:
161:
158:
152:
151:
146:
140:
139:
137:
136:
73:
71:
67:
66:
62:
61:
53:
52:
49:
45:
44:
36:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
3932:
3921:
3918:
3916:
3913:
3911:
3908:
3906:
3903:
3901:
3898:
3897:
3895:
3874:
3871:
3870:
3868:
3864:
3863:Hematosalpinx
3861:
3859:
3856:
3854:
3851:
3849:
3846:
3844:
3841:
3840:
3838:
3834:
3831:
3829:
3826:
3824:
3821:
3820:
3818:
3814:
3811:
3809:
3806:
3804:
3801:
3799:
3796:
3794:
3791:
3790:
3788:
3787:
3785:
3781:
3773:
3770:
3769:
3768:
3765:
3763:
3760:
3758:
3755:
3753:
3750:
3748:
3745:
3744:
3742:
3738:
3728:
3725:
3723:
3720:
3718:
3715:
3713:
3710:
3708:
3705:
3703:
3700:
3698:
3695:
3693:
3690:
3686:
3683:
3681:
3678:
3676:
3673:
3672:
3671:
3668:
3667:
3665:
3663:
3659:
3651:
3648:
3646:
3643:
3642:
3641:
3640:
3636:
3632:
3629:
3628:
3627:
3624:
3620:
3617:
3616:
3615:
3612:
3611:
3609:
3607:
3603:
3597:
3594:
3592:
3589:
3588:
3583:
3580:
3578:
3575:
3574:
3573:
3570:
3566:
3563:
3562:
3561:
3557:
3554:
3553:
3551:
3549:
3545:
3542:
3538:
3535:
3531:
3521:
3518:
3516:
3513:
3509:
3506:
3504:
3501:
3499:
3496:
3494:
3491:
3489:
3488:Louvel's sign
3486:
3484:
3483:Lisker's sign
3481:
3479:
3476:
3474:
3471:
3470:
3469:
3466:
3465:
3463:
3459:
3453:
3450:
3448:
3445:
3443:
3440:
3438:
3435:
3433:
3432:Thrombophilia
3430:
3429:
3427:
3425:
3421:
3415:
3412:
3408:
3405:
3404:
3403:
3400:
3396:
3393:
3391:
3388:
3386:
3383:
3382:
3381:
3378:
3374:
3371:
3369:
3366:
3364:
3361:
3359:
3356:
3354:
3351:
3349:
3346:
3345:
3344:
3341:
3340:
3338:
3334:
3331:
3327:
3321:
3318:
3316:
3313:
3311:
3308:
3307:
3304:
3300:
3296:
3293:Disorders of
3288:
3283:
3281:
3276:
3274:
3269:
3268:
3265:
3253:
3252:Golden S sign
3250:
3248:
3247:Hamman's sign
3245:
3241:
3238:
3237:
3236:
3235:
3231:
3227:
3224:
3222:
3219:
3218:
3217:
3216:
3212:
3208:
3205:
3204:
3203:
3202:
3198:
3194:
3191:
3190:
3189:
3188:
3184:
3180:
3177:
3175:
3172:
3171:
3170:
3169:
3165:
3161:
3160:Hoover's sign
3158:
3157:
3156:
3155:
3151:
3149:
3146:
3144:
3141:
3139:
3136:
3134:
3131:
3129:
3126:
3124:
3121:
3119:
3116:
3114:
3111:
3109:
3108:Nail clubbing
3106:
3102:
3099:
3097:
3094:
3092:
3089:
3088:
3087:
3084:
3083:
3081:
3077:
3067:
3064:
3062:
3059:
3057:
3054:
3052:
3049:
3047:
3044:
3042:
3039:
3037:
3033:
3030:
3028:
3025:
3023:
3020:
3019:
3017:
3013:
3007:
3004:
3002:
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1191:job interview
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1034:Nasal packing
1033:
1031:
1030:precipitate.
1029:
1025:
1021:
1017:
1013:
1009:
1005:
997:
988:
983:
979:
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970:
965:
955:
953:
952:oxymetazoline
948:
947:oxymetazoline
944:
940:
939:phenylephrine
936:
935:oxymetazoline
932:
928:
924:
920:
916:
912:
904:
902:
899:
897:
894:to the nasal
893:
882:
879:February 2023
873:
869:
866:This section
864:
861:
857:
856:
850:
848:
846:
842:
838:
834:
833:
826:
824:
820:
819:Little's area
816:
812:
808:
803:
800:
799:Anticoagulant
795:
786:
779:
774:
771:
769:
766:
763:
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759:
758:
757:
750:
747:
744:
741:
737:
734:
730:
727:
724:
721:
718:
710:
709:Nasal cannula
707:
704:
700:
697:
693:
689:
686:
683:
680:
677:
674:
671:
668:
664:
661:
657:
654:
651:
647:
644:
642:septal spurs)
641:
637:
634:
633:
632:
631:
624:
620:
618:
615:
613:
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608:
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469:
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457:
456:
455:
451:
447:
445:
441:
437:
433:
429:
425:
417:
413:
409:
406:Two children
404:
397:
395:
391:
389:
385:
382:may be used.
381:
380:nasal packing
377:
372:
370:
366:
362:
358:
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342:
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253:nasal packing
250:
246:
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224:
221:
219:
215:
211:
209:
205:
202:, dry weather
201:
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177:
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163:
159:
157:
153:
150:
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134:
133:
120:
75:
74:
72:
70:Pronunciation
68:
63:
59:
54:
50:
46:
41:
33:
19:
3873:Hemarthrosis
3792:
3637:
3625:
3613:
3503:Pratt's sign
3315:coagulopathy
3240:Kerley lines
3232:
3221:Hampton hump
3213:
3199:
3185:
3166:
3152:
2891:Pectoriloquy
2876:Death rattle
2871:Bronchophony
2813:Auscultation
2751:
2737:
2726:
2702:
2691:
2676:
2661:
2642:
2591:. Retrieved
2587:the original
2582:
2573:
2554:
2543:. Retrieved
2539:
2530:
2521:
2515:
2495:
2488:
2476:. Retrieved
2465:
2453:. Retrieved
2446:
2437:
2425:. Retrieved
2419:
2409:
2397:. Retrieved
2391:
2382:
2358:(1): 31–33.
2355:
2351:
2341:
2321:
2314:
2294:
2287:
2267:
2261:
2228:
2224:
2218:
2193:
2189:
2183:
2176:Medline Plus
2139:(3): 143–7.
2136:
2132:
2082:
2078:
2023:
2019:
2009:
1992:
1988:
1982:
1970:. Retrieved
1960:
1951:
1918:
1915:Laryngoscope
1914:
1908:
1896:. Retrieved
1892:the original
1875:
1871:
1831:
1825:
1815:
1804:. Retrieved
1802:. 2020-11-19
1799:
1790:
1749:
1745:
1720:. Retrieved
1715:
1703:
1684:
1678:
1648:(1): 29–39.
1645:
1641:
1635:
1607:
1600:
1566:
1519:
1515:
1465:
1461:
1415:(1): 63–73.
1412:
1408:
1358:
1316:
1312:
1275:
1240:
1231:
1222:
1209:
1207:
1195:
1180:
1173:
1166:
1159:
1144:
1135:
1124:
1111:embolization
1099:
1052:
1041:
1037:
1001:
927:nasal bridge
908:
900:
889:
876:
872:adding to it
867:
843:through the
836:
830:
827:
811:nasal septum
804:
791:
755:
754:
732:
723:Nasal sprays
695:
667:nose picking
660:nose-picking
646:Blunt trauma
639:
629:
628:
590:
589:
584:Nasal sprays
549:
548:
533:Inflammatory
532:
531:
500:
499:
454:Coagulopathy
453:
452:
448:
424:nose picking
421:
392:
373:
338:
334:bloody tears
297:
293:
291:
180:nose picking
174:Risk factors
3626:aggregation
3508:Rose's sign
3478:Homans sign
3310:Coagulation
3201:sarcoidosis
3091:In children
2933:Prematurity
2821:Stethoscope
2728:MedlinePlus
2393:Metroactive
2020:Emerg Med J
1898:January 31,
1882:: 305–311.
1468:(1): 8–25.
1405:"Epistaxis"
1187:examination
937:(Afrin) or
748:infestation
736:septoplasty
690:Intranasal
574:Insufflated
526:Salicylates
243:in the nose
165:Usual onset
48:Other names
3894:Categories
3858:Hematocele
3823:Hemothorax
3798:Hemoptysis
3670:Hemophilia
3442:Thrombosis
3207:Kveim test
3193:Reid index
3128:Hemoptysis
3086:Chest pain
3046:Aerophagia
2886:Percussion
2753:Patient UK
2704:DiseasesDB
2545:2017-12-19
2478:6 November
1834:(9): e14.
1806:2020-12-14
1359:StatPearls
1247:References
851:Prevention
792:The nasal
682:Nasal bone
676:barotrauma
673:Middle ear
623:meningioma
591:Neoplastic
479:Hemophilia
349:alcoholism
264:Medication
237:Prevention
196:alcoholism
184:infections
182:, certain
76:Epistaxis
3905:First aid
3848:Hemobilia
3793:Epistaxis
3380:Platelets
3133:Epistaxis
3041:Trepopnea
3036:Platypnea
3032:Orthopnea
2970:Bradypnea
2960:Tachypnea
2955:Hyperpnea
2913:Breathing
2758:Nosebleed
2744:emerg/806
2739:eMedicine
2374:2302-2914
2099:0022-2151
2040:1472-0205
1766:0031-3955
1670:242676103
1586:cite book
1490:210072386
1431:0095-4543
1325:0002-838X
1210:epistaxis
1208:The word
1204:Etymology
1085:sinusitis
1077:abscesses
1012:lidocaine
923:nasal ala
905:Treatment
837:epistaxis
630:Traumatic
517:Sulphites
444:irritants
388:endoscopy
304:from the
298:epistaxis
294:nosebleed
275:Frequency
257:endoscopy
248:Treatment
144:Specialty
43:Nosebleed
3900:Bleeding
3839:abdomen
3762:Petechia
3757:Hematoma
3747:Bleeding
3614:adhesion
3540:By cause
3533:Bleeding
3437:Thrombus
3336:By cause
3329:Clotting
3299:clotting
3295:bleeding
3113:Cyanosis
3101:Pleurisy
3051:Asphyxia
2965:Hypopnea
2901:Egophony
2866:Fremitus
2841:Crackles
2583:OnzeTaal
2562:Archived
2455:5 August
2427:5 August
2399:5 August
2253:30534218
2245:18936903
2210:24136624
2153:24621629
2115:37082577
2107:29280695
2048:27542804
1972:29 April
1943:22724992
1935:10401851
1888:15686301
1848:19710479
1782:44125103
1774:29803286
1722:13 April
1662:30454778
1627:21250251
1546:30596479
1482:31910122
1439:24439881
1367:28613768
1333:15686301
1223:epistazo
1219:ἐπιστάζω
1212:is from
1183:Filipino
1044:surgicel
1008:necrosis
807:anterior
773:Aneurysm
756:Vascular
684:fracture
607:Melanoma
560:warfarin
484:Leukemia
440:rhinitis
322:nostrils
318:vomiting
302:bleeding
156:Symptoms
3808:Hyphema
3783:By site
3767:Purpura
3461:By site
3066:Snoring
2979:Pattern
2940:Dyspnea
2851:Stertor
2846:Rhonchi
2831:Stridor
2747:ent/701
2698:D004844
2056:4041588
2001:2676467
1537:6517002
1196:In the
1174:In the
1096:Surgery
1073:choanae
1065:Merocel
1056:Merocel
1048:gelfoam
768:Angioma
729:Surgery
578:cocaine
570:, etc.)
568:aspirin
564:heparin
501:Dietary
416:Hungary
3869:joint
3819:torso
3752:Bruise
3675:A/VIII
3168:asthma
3148:Hiccup
3123:Sputum
2856:Squawk
2836:Wheeze
2733:003106
2657:KA83.A
2593:8 June
2503:
2372:
2329:
2302:
2275:
2251:
2243:
2208:
2151:
2113:
2105:
2097:
2054:
2046:
2038:
1999:
1941:
1933:
1886:
1846:
1780:
1772:
1764:
1691:
1668:
1660:
1625:
1615:
1574:
1544:
1534:
1488:
1480:
1437:
1429:
1365:
1331:
1323:
1283:
1020:saline
845:airway
832:pseudo
794:mucosa
692:tumors
412:Vecsés
408:boxing
314:nausea
283:Deaths
135:
3789:head
3424:Clots
3118:Cough
3079:Other
3015:Other
2928:Apnea
2709:18327
2687:784.7
2672:R04.0
2249:S2CID
2171:U.S.
2111:S2CID
2052:S2CID
1939:S2CID
1878:(2).
1778:S2CID
1712:(PDF)
1666:S2CID
1486:S2CID
1241:stazo
1237:στάζω
1214:Greek
1189:or a
1169:Sioux
1151:anime
1147:manga
1132:Other
919:clots
915:clots
896:nares
746:Leech
398:Cause
310:Blood
3685:C/XI
3680:B/IX
3297:and
3154:COPD
2921:Rate
2693:MeSH
2682:9-CM
2653:MD20
2595:2020
2501:ISBN
2480:2016
2457:2011
2429:2011
2401:2011
2370:ISSN
2327:ISBN
2300:ISBN
2273:ISBN
2241:PMID
2206:PMID
2149:PMID
2103:PMID
2095:ISSN
2044:PMID
2036:ISSN
1997:PMID
1974:2024
1931:PMID
1900:2010
1884:PMID
1844:PMID
1770:PMID
1762:ISSN
1724:2020
1689:ISBN
1658:PMID
1623:PMID
1613:ISBN
1592:link
1572:ISBN
1542:PMID
1520:2018
1478:PMID
1435:PMID
1427:ISSN
1363:PMID
1329:PMID
1321:ISSN
1281:ISBN
1149:and
1046:and
738:and
733:e.g.
696:e.g.
640:e.g.
316:and
306:nose
286:Rare
132:-sis
130:STAK
128:-ih-
3577:TTP
3560:ITP
3402:DIC
2678:ICD
2663:ICD
2644:ICD
2360:doi
2233:doi
2225:HNO
2198:doi
2194:139
2141:doi
2087:doi
2083:131
2028:doi
1923:doi
1919:109
1836:doi
1832:361
1754:doi
1716:CDC
1650:doi
1532:PMC
1524:doi
1470:doi
1466:162
1417:doi
1232:epi
1228:ἐπί
1181:In
874:.
701:or
519:as
489:HIV
367:or
3896::
3572:TM
3558::
2756::
2742::
2731::
2707::
2696::
2685::
2670::
2667:10
2655:,
2651::
2648:11
2581:.
2538:.
2445:.
2418:.
2390:.
2368:.
2354:.
2350:.
2247:.
2239:.
2229:56
2227:.
2204:.
2192:.
2161:^
2147:.
2137:75
2135:.
2123:^
2109:.
2101:.
2093:.
2081:.
2064:^
2050:.
2042:.
2034:.
2024:34
2022:.
2018:.
1993:68
1991:.
1937:.
1929:.
1917:.
1876:71
1874:.
1870:.
1856:^
1842:.
1830:.
1824:.
1798:.
1776:.
1768:.
1760:.
1750:65
1748:.
1732:^
1714:.
1664:.
1656:.
1646:37
1644:.
1621:.
1588:}}
1584:{{
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1411:.
1407:.
1375:^
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1341:^
1327:.
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1295:^
1255:^
1216::
1193:.
1083:,
1079:,
898:.
835:+
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336:.
308:.
292:A
255:,
229:,
225:,
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126:EP
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